Clin Orthop Surg.  2014 Dec;6(4):401-404. 10.4055/cios.2014.6.4.401.

Arthrodesis of Distal Interphalangeal Joints in the Hand with Interosseous Wiring and Intramedullary K-wire Fixation

Affiliations
  • 1Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University College of Medicine, Seongnam, Korea. hsoohong@hanmail.net

Abstract

BACKGROUND
To evaluate the efficacy of intramedullary K-wire fixation and interosseous wiring in the arthrodesis of the distal interphalangeal (DIP) joint with description of surgical procedure.
METHODS
We retrospectively analyzed 9 cases (7 women and 2 men) of DIP joint arthrodesis. The average age of patients was 44.2 years (range, 21 to 71 years) and the mean follow-up period was 19.6 months. Joint union was evaluated on the follow-up radiographs together with postoperative complications.
RESULTS
All cases achieved radiologic union of the arthrodesis site. There was no surgical complication except for one case of skin irritation by the interosseous wire knot which was removed during the follow-up period.
CONCLUSIONS
Intramedullary K-wire fixation and interosseous wiring could be an alternative procedure of arthrodesis in the DIP joint.

Keyword

Distal interphalangeal joint; Arthrodesis; Intramedullary K-wire; Interosseous wiring

MeSH Terms

Adult
Aged
Arthritis/*surgery
Arthrodesis/*methods
Bone Wires
Female
Finger Joint/radiography/*surgery
Hand Deformities, Acquired/*surgery
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Young Adult

Figure

  • Fig. 1 (A) H-shape mid-dorsal skin incision centered over the distal interphalangeal joint. (B) Preparation of intramedullary holes with K-wire drilling. (C) Positioning of the K-wire. (D) Placement of intravenous catheter needles and interosseous wire. (E) Tensioning and tightening of the wire.

  • Fig. 2 Postoperative anteroposterior (A) and lateral (B) radiographs.


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