title: Comparison of distal interphalangeal fusion with and without joint preparation in cases of stage IV chondropathy.
abstract: The main complications in distal interphalangeal (DIP) fusion are non-union and hardware-related symptoms. The primary aim of this study was to show that joint preparation for DIP fusion is not necessary in cases of stage IV chondropathy. The secondary aim was to show that use of buried compression screws decreases the complication rate. This continuous retrospective study included two groups of DIP percutaneous arthrodesis procedures carried out with 1.8mm break-away compression screws: group 1 underwent joint preparation through a dorsal approach and group 2 underwent a percutaneous procedure without joint preparation. Group 1 included 15 patients (18 fingers) with a mean age of 65.3 years, representing nine cases of osteoarthritis, four cases of open trauma, one of gout, and one of rheumatoid arthritis. Group 2 included 18 patients (21 fingers) with a mean age of 58.9 years, representing 16 cases of osteoarthritis, one of rheumatoid arthritis and one of swan-neck deformity. Tourniquet time was longer in group 1 (61min) than in group 2 (24min). The amount of emitted ionizing radiation was not different between groups. Pain and QuickDASH scores were not improved in group 1 but they were in group 2. There was no difference in the fusion time. One non-union was observed in group 1. Our results show that joint preparation for DIP arthrodesis is unnecessary in stage IV chondropathy. No hardware-related complications were observed.
  
  
  METHODS
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authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: A-S
authors.initials: AS
authors.lastname: Matheron
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Gouzou
authors.affiliation: Department of Orthopedic Surgery, Caen University Hospital "Côte-de-Nacre", 14040 Caen cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Collon
authors.affiliation: Department of Plastic Surgery, Strasbourg University Hospital, FMTS, Strasbourg University, Strasbourg, France.
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, 10, avenue Baumann, 67403 Illkirch, France. Electronic address: Philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000601:surgery; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws; D002356:Cartilage / Q000601:surgery*; D004185:Disability Evaluation; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D005384:Finger Joint / Q000601:surgery*; D006073:Gout / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010003:Osteoarthritis / Q000601:surgery; D054850:Osteophyte / Q000601:surgery*; D010147:Pain Measurement; D012189:Retrospective Studies; D014111:Tourniquets
keywords: Arthrodesis; Arthrodèse; Arthrose; Articulation interphalangienne distale; DIP; Distal interphalangeal joint; IPD; Joint fusion; Osteoarthritis; Percutaneous; Percutané; Screw; Vis