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Proximal interphalangeal joint arthrodesis with the Herbert screw
J R Ayres1, G L Goldstrohm, G J Miller
1Department of Orthopaedics, University of Florida Medical Center, Gainesville 32610.
The Journal of Hand Surgery
|July 1, 1988
Summary
The Herbert screw offers a highly effective method for proximal interphalangeal (PIP) joint fusion, achieving a 98% success rate. This technique provides strong biomechanical stability for PIP joint arthrodesis with minimal external support.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Surgical Techniques
Background:
- Proximal interphalangeal (PIP) joint arthrodesis aims to achieve solid bony fusion.
- Various fixation methods exist, each with advantages and limitations.
- The Herbert screw is a specialized implant for fracture fixation and joint fusion.
Purpose of the Study:
- To evaluate the efficacy and biomechanical properties of the Herbert screw for PIP joint arthrodesis.
- To determine the fusion rate and healing time using the Herbert screw.
- To compare Herbert screw fixation with other arthrodesis techniques.
Main Methods:
- Retrospective analysis of 51 PIP joint arthrodesis cases using the Herbert screw.
- Assessment of fusion status at 6 weeks postoperatively.
- Biomechanical testing of Herbert screw arthrodesis versus tension band wiring in cadaveric specimens using three-point bending.
Main Results:
- A high fusion rate of 98% (50 out of 51 joints) was achieved within 6 weeks.
- Herbert screw fixation demonstrated comparable biomechanical stability to tension band arthrodesis in cadaveric models.
- Minimal external protection was required for successful fusion.
Conclusions:
- Herbert screw arthrodesis is a reliable and effective technique for PIP joint fusion.
- The method provides excellent biomechanical support and a high fusion rate.
- Adherence to specific technical details is crucial for optimal outcomes in Herbert screw PIP joint arthrodesis.