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The volar approach to proximal interphalangeal joint arthroplasty
Scott F M Duncan1, Marianne V Merritt, Ryosuke Kakinoki
1Department of Orthopedic Surgery, Owatonna Clinic-Mayo Health, System Owatonna, MN 55060, USA. duncan.scott@mayo.edu
Abstract:
Proximal interphalangeal joint arthroplasty has resulted in good outcomes in patients treated for osteoarthritis, posttraumatic arthritis, and rheumatoid arthritis. Most hand surgeons complete arthroplasties of the proximal interphalangeal joint through a dorsal approach. However, for the past 7 years, we have had positive results with a volar approach. We describe this technique, which avoids injury to the extensor tendon and allows for a more simplified approach to postoperative therapy compared with the therapy regimen required after the dorsal approach.
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