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Minimally Invasive Interphalangeal Arthrodesis.

Celso R Folberg1, Jairo André O Alves, Fernando M S Pereira

  • 1Orthopedics and Traumatology Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.

Techniques in Hand & Upper Extremity Surgery
|December 2, 2021
PubMed
Summary
This summary is machine-generated.

This study presents a minimally invasive technique for distal interphalangeal joint fusion, offering a less invasive surgical option for osteoarthrosis. The method achieved solid fusion in all patients, demonstrating good outcomes with reduced soft tissue disruption.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Minimally Invasive Procedures

Background:

  • Distal interphalangeal (DIP) joint fusion is a standard surgical treatment for osteoarthrosis when conservative methods fail.
  • Traditional open dorsal approaches carry risks of soft tissue complications.

Purpose of the Study:

  • To describe a novel, minimally invasive technique for DIP joint fusion.
  • To evaluate the efficacy and outcomes of this new approach.

Main Methods:

  • A technique involving two mini-incisions (lateral and digital pulp) for cartilage resection and percutaneous Herbert screw fixation.
  • Procedures performed under digital block anesthesia and fluoroscopic guidance.
  • Utilized a small round burr for joint preparation and manual traction for joint space enlargement.

Main Results:

  • Four cases (3 pain, 1 aesthetic) were treated with the described technique, all achieving satisfactory results.
  • Radiographic evidence of solid fusion was observed within 8 to 12 weeks.
  • One case of skin burning due to burr heat was noted, with a described method for avoidance.

Conclusions:

  • Minimally invasive DIP joint fusion is a simple and reproducible technique.
  • It preserves the soft tissue envelope while achieving solid arthrodesis.
  • This approach offers an advantageous alternative to traditional open surgery.