Are there any surgical options for interphalangeal joint arthritis?
Are there any surgical options for interphalangeal joint arthritis?
Role of Surgery in the Arthritic Interphalangeal Joint. Relatively few surgical options exist for the painful arthritic PIP joint. Currently, PIP joint osteoarthritis is typically treated with arthrodesis of the index finger and silicone arthroplasties in the ulnar digits.
Which is the best arthroplasty for distal interphalangeal joint?
Distal interphalangeal joint arthroplasty is rarely necessary, because arthroplasty of this joint results in limited motion and because function after arthrodesis is more satisfactory and predictable. [ 6] A Swanson interpositional arthroplasty of the PIP joint through a dorsal approach has been recommended. [ 7]
When to use Arthrodesis of the IP joint?
Arthrodesis of the IP joint is indicated in patients with painful IP arthritis, instability, or deformity.
When is Arthrodesis of the hallux interphalangeal joint necessary?
Absolute systolic toe pressure higher than 50 mm Hg indicates adequate wound healing potential. An osteotomy or cheilectomy in addition to the IP joint arthrodesis may be necessary if motion at the IP joint of the hallux is less than neutral dorsiflexion.
Role of Surgery in the Arthritic Interphalangeal Joint. Relatively few surgical options exist for the painful arthritic PIP joint. Currently, PIP joint osteoarthritis is typically treated with arthrodesis of the index finger and silicone arthroplasties in the ulnar digits.
When does Arthrodesis of the interphalangeal joint occur?
The extensor hallucis longus tendon is transferred to flexor hallucis longus tendon and the interphalangeal joint is arthrodesed after enough bone has been removed to correct deformity. (Adapted from Dickson and Diveley.3)
How is the arthrodesis of the DIP joint done?
The arthrodesis technique depends on the implant used. The extensor tendon is sutured and the wound is closed. DIP arthrodesis: dorsal incision centered over the DIP joint, exposure of the DIP joint by transsecting the extensor tendon and joint capsule, release of the collateral ligaments, while carefully protecting the neurovascular bundles.