Proximal interphalangeal joint arthrodesis with the Herbert screw
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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
Abstract:
Numerous fixation techniques have been described to obtain successful proximal interphalangeal (PIP) joint arthrodesis. By use of the Herbert screw for compression, 50 (98%) out of 51 PIP joints were fused within 6 weeks. Biomechanically, PIP joint arthrodeses using the Herbert screw in cadaver joints were comparable to tension band arthrodeses evaluated by three-point bending. Herbert screw arthrodesis of the PIP joint achieves a high fusion rate with minimal external protection provided certain technical details are followed.