Complications of the use of the Harrison-Nicolle Intramedullary Peg in digital arthrodesis.
The Harrison-Nicolle Intramedullary Peg is used for the arthrodesis of digital joints. We report our experience of complications found using this peg in a series of 16 arthrodeses. At review after an average of 2.9 years, three cases had been revised. Only five of the remaining 13 cases showed a bony fusion and in only two of these five was the fusion in an acceptable position. In nine cases the joint became straight or extended; the preset angle of the peg did not determine the final angle of the arthrodesis. In five cases the tips of the peg appeared to be eroding through bone.
Taylor
M F
MF
Department of Orthopaedic Surgery, Guy's Hospital, London, UK.
Spencer
J D
JD
D000368:Aged; D000369:Aged, 80 and over; D015535:Arthritis, Psoriatic / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D001174:Arthrodesis / Q000009:adverse effects*; D005260:Female; D005384:Finger Joint / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D013933:Thumb / Q000601:surgery*