Distal Interphalangeal Joint Arthrodesis for Degenerative Osteoarthritis With Compression Screw: Results in 102 Digits

Arthrodesis of thumb interphalangeal and finger distal interphalangeal joints using the intramedullary X-Fuse® implant: Retrospective analysis of 38 cases

“…Only Villani et al [4] mention a surgery satisfaction rate of 96%. The DASH and Quick DASH scores were never reported.…”

“…Villani et al [4] reported a 100% fusion rate in a series of 102 DIP arthrodesis procedures performed for osteoarthritis with a compression screw (SCRU 1 type) and only four unsatisfied patients. Four complications were noted: two excessively long screws, one type 1 complex regional painful syndrome, one large and painful bone callus; all required excision of the screw.…”

Percutaneous in situ versus open arthrodesis of the distal interphalangeal joint

“…Two recent studies (Matsumoto et al, 2013;Villani et al, 2012) have also found high union rates (97%-100%) in DIP joint arthrodeses, but neither listed the criteria for assessment of bony union. In our study, 6 of the 17 digits in the PISA group did not demonstrate clear radiographic union at an average of 10.5 months after surgery.…”

Osteoarthritis and prosthetic joints in the hand

“…81,82 In one series the rate of dorsal skin necrosis was 14% with the use of a Herbert screw. The risk of this is greatest at the trapeziometacarpal joint, but wide variation has been reported of between 8 and 20%.…”