Ligament reconstruction and tendon interposition for advanced posttraumatic arthritis of the proximal interphalangeal joint: 3 case reports.
Although prosthetic replacement of the proximal interphalangeal (PIP) joint can restore function, it is associated with high rates of complications and is considered unsuitable for active young patients. Resection arthroplasty of the PIP joint offers an alternative, but it requires adequate soft tissue integrity and cannot correct lateral instability. The authors present an alternative resection arthroplasty technique for the PIP joint, which includes collateral ligament reconstruction and tendon interposition using a free tendon graft. This procedure can be performed in advanced posttraumatic arthritis of the PIP joint and provides acceptable motion and adequate lateral stability.
Gong
Hyun Sik
HS
Department of Orthopaedics, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea. hsgong@snu.ac.kr
Chung
Moon Sang
MS
Oh
Joo Han
JH
Lee
Young Ho
YH
Lee
Young-Kyun
YK
Baek
Goo Hyun
GH
D000328:Adult; D001168:Arthritis / Q000503:physiopathology / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D017885:Collateral Ligaments / Q000601:surgery*; D005384:Finger Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D013710:Tendons / Q000637:transplantation*