| Distal interphalangeal joint arthrodesis: treatment with Herbert screw. | |
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MedLine Citation:
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PMID: 14577724 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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From 1996 to 2000, 20 patients with a mean age of 53 underwent 20 arthrodeses with Herbert screws. There were 16 (80%) distal interphalangeal joint (DIP) and 4 (20%) thumb interphalangeal (IP) joint arthrodeses. Average follow-up was 25 months (range, 6-39 months). The diagnoses included rheumatoid arthritis in 10 patients, degenerative arthritis in 4, and post-traumatic arthritis in 6. Arthrodesis relieved pain and restored stability in all patients. Solid osseous union occurred in 19 patients (95%). The average interval to fusion was 8 weeks for DIP and 12 weeks for IP joint arthrodesis. Solid osseous union occurred in 19 patients (95%). The average interval to fusion was 8 weeks for distal interphalangeal joint arthrodesis and 12 weeks for interphalangeal joint of the thumb. There were three complications: one delayed union, one nonunion because of a short screw, and one dorsal skin necrosis with amputation. It was shown that distal interphalangeal joint arthrodesis with a Herbert screw is a technique with several advantages: good clinical results, high rates of fusion, early mobilization, and the screw does not need to be removed after the fusion heals. Potential complications may be avoided by using the Herbert mini-screw. |
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Authors:
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C Lamas Gómez; I Proubasta; I Escribà; J Itarte; E Cáceres |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Journal of the Southern Orthopaedic Association Volume: 12 ISSN: 1059-1052 ISO Abbreviation: J South Orthop Assoc Publication Date: 2003 |
Date Detail:
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Created Date: 2003-10-27 Completed Date: 2004-03-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9211289 Medline TA: J South Orthop Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 154-9 Citation Subset: IM |
Affiliation:
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Department of Traumatology and Orthopaedic Surgery, Hospital Santa Creu i Sant Pau, Autonomous University of Barcelona, 08025 Barcelona, Spain. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arthritis / surgery Arthrodesis / instrumentation*, methods* Bone Screws* Female Finger Joint / radiography, surgery* Follow-Up Studies Humans Male Middle Aged Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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