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Proximal Interphalangeal Joint Arthrodesis Techniques: A Systematic Review.

Harrison Faulkner¹, Vincent An², Richard D Lawson³

¹University of New South Wales, Sydney, Australia.

Hand (New York, N.Y.)

|March 8, 2021

Summary

Proximal interphalangeal joint (PIPJ) arthrodesis techniques show similar fusion times and complication rates. Screw fixation may offer a lower nonunion rate compared to wire fusion for PIPJ arthrodesis.

Keywords:

arthrodesis proximal interphalangeal joint systematic review

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Area of Science:

Orthopedic Surgery
Hand Surgery
Joint Reconstruction

Background:

Proximal interphalangeal joint (PIPJ) arthrodesis is a critical salvage procedure for end-stage PIPJ arthropathy.
Various surgical techniques exist, but optimal method consensus is lacking, and recent literature summaries are unavailable.

Conclusions:

Current PIPJ arthrodesis techniques demonstrate comparable fusion times and overall complication rates.
Screw fixation appears to have an advantage in reducing nonunion rates compared to wire fixation.
Further research is needed due to data limitations to definitively differentiate technique efficacy.