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[Finger joint arthrodeses with intraosseous wire suture and Kirschner wire. A comparative study of 309 operations]
1Abteilung für Handchirurgie und Plastische Chirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Abstract:
In this study the results of digital arthrodeses with intraosseous wiring and Kirschner-wire were compared with other operative techniques. The report is based on 309 operations performed between 1979 and 1982. The indications were mostly traumatic and posttraumatic joint lesions. Here the best results were obtained with the technique of intraosseous wiring and Kirschner-wires. On an average, it took seven weeks to full radiological and clinical bony union. Also the functional results after digital arthrodeses with different techniques were studied. With a mean total active range of motion of 76.8% compared with normal, this technique showed good results. Compression screw arthrodeses, tension-band arthrodeses and digital arthrodeses with crossed Kirschner-wires were performed only for special indications during the period covered by the report.