Distal interphalangeal joint arthrodesis with the intramedullary Lync® implant: Prospective study of 22 cases

Auzias, Pierre; Delarue, R.; Strouk, G.; Guerre, Elvire; Limousin, M.; Fontaine, C.; Aumar, Aurélien

doi:10.1016/j.hansur.2019.01.004

Cited by 8 publications

(10 citation statements)

References 27 publications

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“…As the percutaneously located K-wire had to be removed during the outpatient follow-up, none of the implants remained in the fused joints. Lastly, the economic cost of using K-wire only fixation is much less than the use of plate fixation, specialised implant plate fixation, and even screw fixation [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…The principles of arthrodesis involve preparation of the DIPJ by debriding the articular cartilage and cortical bone until a healthy cancellous bone is exposed, followed by stable fixation with compression. Various methods of fixation have been described for the arthrodesis of the DIPJs, including Kirschner wire (K-wire) [4], Headless Compression Screw (HCS) [5,6], circumferential wiring and K-wire fixation [7,8], plate fixation [9,10], specialised implants [11,12], and even minimally invasive techniques [13] based on the size of the distal phalanx.…”

Section: Introductionmentioning

confidence: 99%

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Distal interphalangeal Joint Arthrodesis using only Kirschner Wires in small distal Phalanges

Lee¹,

Lee

Choi

et al. 2021

Handchir Mikrochir Plast Chir

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Purpose To report the clinical and radiographic results of arthrodesis of relatively small-sized distal interphalangeal joints (DIPJs) using only K-wire fixation. Patients and methods Between January 2000 and December 2018 28 arthrodesis in 21 patients (9 males and 12 females with an average age of 52.1 years) with relatively small-sized DIPJs were performed using only K-wires. Data on patient’s characteristics, such as age, sex, affected finger, and the number and size of the used k-wires were collected from the medical database. The narrowest diameter of the cortex and medulla of the distal phalanx was measured on preoperative plain radiographs. The time to union and the arthrodesis angle was determined using serial X-ray radiography follow-up. Preoperatively and at the latest follow-up examination, pain using the visual analogue scale (VAS) and the quick DASH score was registered. In addition, complications were investigated. Results Average follow-up period was 11.4 months. The small finger was mostly affected (n = 12; 42.9 %). The narrowest diameters of the distal phalanx cortex and the medulla measured on preoperative X-ray images were 2.8 mm (SD 0.5) and 1.2 mm (SD 0.4), respectively. Seven fusions were done with use of 1 K-wire, 20 with 2 (71.4 %), and 1 with 3 K-wires. The most common K-wire sizes were 1.1-inch (24 K-wires = 48 %), and 0.9 inch (21 K-wires = 42 %) The preoperative VAS score and quick DASH score improved from 6.1 (range: 0–9) and 25.8 (range: 2–38) to 0.4 (range: 0–2) and 3.4 (range: 0–10.2), respectively. 25 (89.3 %) out of 28 fingers achieved bony union in an average of 96.1 days (range: 58–114) with three non-union. Conclusion Arthrodesis of small DIPJs with K-wire fixation has a high success rate. Therefore, we suggest K-wire fixation as an acceptable alternative for patients with a small phalanx which may be at risk of mismatch with bigger implants. However, concerns remain in terms of fusion delay with K-wire only fixation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Distal interphalangeal Joint Arthrodesis using only Kirschner Wires in small distal Phalanges

Lee¹,

Lee

Choi

et al. 2021

Handchir Mikrochir Plast Chir

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“…Lync ® (Novastep, Rennes, Frankreich) ist in zwei verschiedenen Winkeln und einer Größe erhältlich ist [24]. Auzias und Mitarb.…”

Section: Lync ®unclassified

“…erreichten damit bei 22 durchgeführten Arthrodesen eine Konsolidierungsrate von 91 %. Revisionseingriffe erfolgten aufgrund von Schmerzen bei Perforation der dorsalen Kortikalis durch das Implantat und perimplantären Osteolysen, wobei sich in zwei von drei Fällen ein positiver Keimnachweis fand [24].…”

Section: Lync ®unclassified

“…6 Röntgenbild in zwei Ebenen einer DIP-Gelenksarthrodese mit X-Fuse ® ▶Abb. 7 Röntgenbild in zwei Ebenen einer DIP-Gelenksarthrodese mit Fixateur externe Verzicht auf eine Ruhigstellung, Fingerschienen unterschiedlicher Länge bis hin zu einer vollständigen Ruhigstellung unter Einschluss des Handgelenkes für verschiedene Zeiträume [24,44,86]. Die meisten Autoren bevorzugen jedoch eine Ruhigstellung des DIP-Gelenkes bis zum Abschluss der Wundheilung bzw.…”

Section: Nachbehandlungunclassified

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Die Arthrodese des Fingerendgelenkes: eine Literaturanalyse

Vonderlind

Eisenschenk

Strüwer

et al. 2021

Handchir Mikrochir Plast Chir

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A human, allogeneic cortical bone screw for distal interphalangeal joint (DIP) arthrodesis: a retrospective cohort study with at least 10 months follow-up

Krasny

Radda

Polke

et al. 2023

Arch Orthop Trauma Surg

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Introduction The prime requisites of a good digital arthrodesis are a painless and stable union in a proper position. Arthrodesis of the distal interphalangeal joint of the fingers is not without potential complications including nonunion, malunion, and deep tissue infections. The Shark Screw® is a human, cortical bone allograft for osteosynthesis and an alternative to metal or bioabsorbable devices in orthopedics and trauma surgery. The primary hypothesis is that the fusion and complication rate, using the Shark Screw®, is at least similar to those reported in the literature, using metal or bioabsorbable screws. Material and methods This retrospective cohort study analyzes the fusion and complication rate and the patient satisfaction of distal interphalangeal joint arthrodesis of 27 fingers with the human allogeneic cortical bone screw. Complications, Disabilities of Arm, Shoulder, and Hand Questionnaire (Quick-DASH) score and Michigan Hand Outcomes Questionnaire (MHQ) score, grip and pinch strength and fusion angle were investigated. Results The mean follow-up was 23 months. At 6 weeks after surgery, fusion was obtained for all fingers. There was no surgical complication that required revision surgery. An average fusion angle of 13.6° ± 10.7° was measured. VAS pain score decreased significantly from 6.9 before surgery to 0.14 after surgery. The Quick-DASH score decreased from 10.7 to 7.8. The MHQ score improved in all sub-scores. Conclusion The complication rates, using the Shark Screw® for DIP joint arthrodesis, are lower compared to the results reported in the literature for other surgical techniques. Complications related to the human allograft cortical bone screw itself were not observed. The bone screw is completely remodeled into the host bone and further hardware removal is not necessary. Level of evidence IV.

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Distal interphalangeal joint arthrodesis with the intramedullary Lync® implant: Prospective study of 22 cases

Cited by 8 publications

References 27 publications

Distal interphalangeal Joint Arthrodesis using only Kirschner Wires in small distal Phalanges

Distal interphalangeal Joint Arthrodesis using only Kirschner Wires in small distal Phalanges

Die Arthrodese des Fingerendgelenkes: eine Literaturanalyse

A human, allogeneic cortical bone screw for distal interphalangeal joint (DIP) arthrodesis: a retrospective cohort study with at least 10 months follow-up

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