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Proximal Interphalangeal Joint Arthroplasty for Fracture
Jeremy E Raducha1, Arnold-Peter C Weiss2
1Department of Orthopaedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA.
Hand Clinics
|October 12, 2023
Summary
Proximal interphalangeal joint arthroplasties offer pain relief for fractures and arthritis, but do not improve motion. These implants have good long-term survival despite early revisions and complications.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Biomaterials Science
Background:
- Proximal interphalangeal (PIP) joint arthroplasties address acute/chronic fractures and posttraumatic arthritis.
- These procedures aim to alleviate pain and improve patient-reported outcomes.
Purpose of the Study:
- To evaluate the efficacy and long-term outcomes of PIP joint arthroplasties.
- To compare PIP joint arthroplasty with alternative treatments like arthrodesis, osteotomy, and amputation.
Main Methods:
- Review of clinical outcomes, complication rates, and implant survival.
- Analysis of patient satisfaction and range of motion following surgery.
Main Results:
- Excellent pain relief and high patient satisfaction reported.
- No significant improvement in postoperative motion expected.
- High rates of minor complications and radiographic loosening observed.
- Most revisions occur in the early postoperative period.
- Good long-term implant survival rates demonstrated.
Conclusions:
- PIP joint arthroplasty is a viable alternative to arthrodesis, osteotomy, and amputation for select patients.
- Patients should be counseled regarding the lack of expected motion improvement postoperatively.
- Careful patient selection and management of early complications are crucial for successful outcomes.
