Proximal Interphalangeal Joint Arthrodesis Techniques: A Systematic Review

被引:2
作者
Faulkner, Harrison [1 ,7 ]
An, Vincent [2 ]
Lawson, Richard D. [3 ]
Graham, David J. [4 ,5 ]
Sivakumar, Brahman S. [3 ,4 ,6 ]
机构
[1] Univ New South Wales, Sydney, Australia
[2] Royal Prince Alfred Hosp, Sydney, NSW, Australia
[3] Royal North Shore Hosp, St Leonards, NSW, Australia
[4] Australian Res Collaborat Hands, Mudgeeraba, Qld, Australia
[5] Gold Coast Univ Hosp, Southport, Qld, Australia
[6] Hornsby Ku Ring Gai Hosp, Hornsby, NSW, Australia
[7] Univ New South Wales, Fac Med, High St, Sydney, NSW 2052, Australia
来源
HAND-AMERICAN ASSOCIATION FOR HAND SURGERY | 2023年 / 18卷 / 01期
关键词
proximal interphalangeal joint; arthrodesis; systematic review; COMPRESSION ARTHRODESIS; FIXATION; FINGER; HAND; SCREW;
D O I
10.1177/1558944721998019
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Proximal interphalangeal joint (PIPJ) arthrodesis is a salvage option in the management of end-stage PIPJ arthropathy. Numerous techniques have been described, including screws, Kirschner wires, tension band wiring, intramedullary devices, and plate fixation. There remains no consensus as to the optimum method, and no recent summary of the literature exists. A literature search was conducted using the MEDLINE, EMBASE, and PubMed databases. English-language articles reporting PIPJ arthrodesis outcomes were included and presented in a systematic review. Pearson chi 2 and 2-sample proportion tests were used to compare fusion time, nonunion rate, and complication rate between arthrodesis techniques. The mean fusion time ranged from 5.1 to 12.9 weeks. There were no statistically significant differences in fusion time between arthrodesis techniques. Nonunion rates ranged from 0.0% to 33.3%. Screw arthrodesis demonstrated a lower nonunion rate than wire fusion (3.0% and 8.5% respectively; P = .01). Complication rates ranged from 0.0% to 22.1%. Aside from nonunions, there were no statistically significant differences in complication rates between arthrodesis techniques. The available PIPJ arthrodesis techniques have similar fusion time, nonunion rate, and complication rate outcomes. The existing data have significant limitations, and further research would be beneficial to elucidate any differences between techniques.
引用
收藏
页码:74 / 79
页数:6
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