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Joint Denervation in the Digits: Technique and Patient Satisfaction
Annals of Plastic Surgery
|October 7, 2017
Summary
Finger joint denervation offers a safe and effective solution for osteoarthritis pain, significantly improving function and patient satisfaction with minimal complications. This outpatient procedure preserves motion, unlike traditional treatments.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Osteoarthritis Treatment
Background:
- Traditional finger osteoarthritis treatments like arthrodesis and arthroplasty have limitations, including loss of motion or complications.
- Finger joint denervation presents a less invasive outpatient alternative that preserves joint mobility.
Purpose of the Study:
- To describe surgical techniques for finger joint denervation.
- To evaluate patient satisfaction and outcomes following the procedure.
Main Methods:
- Retrospective review of patients undergoing finger joint denervation (2012-2014).
- Postoperative phone survey assessing pain, function, complications, and willingness to repeat the procedure.
Main Results:
- 11 patients (22 joints) completed the survey.
- Significant reduction in pain (median 5/5 to 0/5) and improvement in hand function (median 2/5 to 5/5) reported.
- High patient satisfaction (9/11 would repeat) with few complications.
Conclusions:
- Finger joint denervation is a safe and effective treatment for digital osteoarthritis.
- The procedure provides substantial pain relief and high patient satisfaction.
- Low complication rates support joint denervation as a viable therapeutic option.

