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Surgical approaches for proximal interphalangeal joint arthroplasty
1Department of Orthopaedic Surgery, Division of Hand Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
The Bone & Joint Journal
|December 1, 2022
Summary
This review compares dorsal, volar, and lateral surgical approaches for proximal interphalangeal joint arthroplasty. Each method
Area of Science:
- Orthopedic surgery
- Hand surgery
- Joint reconstruction
Background:
- Proximal interphalangeal (PIP) joint arthroplasty is a common procedure for treating PIP joint arthritis.
- Various surgical approaches exist, each with potential benefits and drawbacks.
Purpose of the Study:
- To review current concepts and compare the three most common surgical approaches for PIP joint arthroplasty.
- To highlight the advantages and disadvantages of each surgical technique.
Main Methods:
- Literature review of current concepts on PIP joint arthroplasty.
- Comparative analysis of dorsal, volar, and lateral surgical approaches.
Main Results:
- Dorsal approach: good visualization, potential for extensor mechanism issues.
- Volar approach: direct implant placement, risk to neurovascular structures.
- Lateral approach: less disruption, potentially limited visualization.
Conclusions:
- The choice of surgical approach for PIP joint arthroplasty depends on surgeon preference and patient-specific factors.
- Understanding the pros and cons of each approach is crucial for optimizing outcomes.
