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Proximal Interphalangeal Joint Arthrodesis of the Hand Utilising a Rigid Intramedullary Device
Fraser Taylor1, Nicholas Johns1, Varuguna Manohoran1
1Musculoskeletal Services, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
The Journal of Hand Surgery Asian-Pacific Volume
|April 29, 2023
Summary
This study introduces the APEX IP® device for proximal interphalangeal joint (PIPJ) fusion, offering a reliable surgical technique for hand arthritis treatment. It aims to improve function and reduce pain in patients with PIPJ arthritis.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Medical device technology
Background:
- Proximal interphalangeal joint (PIPJ) arthritis significantly impairs hand function and causes pain.
- Effective surgical solutions are needed for PIPJ arthritis management.
- Arthrodesis (fusion) is a common treatment for severe PIPJ arthritis.
Purpose of the Study:
- To describe an easily reproducible surgical technique for PIPJ arthrodesis using the APEX IP® Extremity Medical fusion device.
- To provide a guide for surgeons utilizing this specific intramedullary screw device.
- To highlight the reliability and potential for good patient outcomes with this fusion method.
Main Methods:
- Description of a surgical technique for PIPJ arthrodesis.
- Utilizing the APEX IP® interlocking intramedullary screw device.
- Focus on reproducibility and ease of application for surgeons.
Main Results:
- The APEX IP® device offers a reliable method for PIPJ arthrodesis.
- The described technique is easily reproducible.
- The device is associated with good patient outcomes in hand PIPJ fusion.
Conclusions:
- The APEX IP® device provides a dependable option for surgical fusion of the proximal interphalangeal joint.
- The presented surgical technique facilitates reproducible and effective PIPJ arthrodesis.
- This approach can lead to improved functional outcomes for patients suffering from PIPJ arthritis.

