title: [Arthrodesis of the proximal interphalangeal joint of fingers with tension band wire].
abstract: OBJECTIVE
  Arthrodesis of the proximal interphalangeal joint of fingers in a functional and pain-free position.
  
  
  METHODS
  Primary and secondary osteoarthritis, traumatic joint destruction, posttraumatic malposition, instability, joint destruction due to infection, irreparable extensor and/or flexor tendon lesion, recurrent flexion deformity in Dupuytren's disease, arthritis (e. g., rheumatoid arthritis, psoriatic arthritis), failed resection arthroplasty, failed prosthesis, congenital disorder (e. g., camptodactyly).
  
  
  METHODS
  Persistent joint infection.
  
  
  METHODS
  Resection of the proximal phalanx head and the middle phalanx base, arthrodesis with figure-of-eight tension band wire in a functional position.
  
  
  METHODS
  Plaster of Paris cast with arthrodesis position of the affected finger and intrinsic plus position of at least one adjacent finger for 2 weeks, custom-made finger splint for 4 weeks.
  
  
  RESULTS
  A total of 15 of 16 patients with an arthrodesis of the proximal interphalangeal finger joint of the dominant hand by tension band wire were followed up after an average of 31 months. None was affected by the arthrodesis in everyday live. All patients were very satisfied with the result. Nine of 15 patients were free of pain both at rest and with activity. The average DASH score was 48 points. Grip strength averaged 29 kg, 7 % stronger than the contralateral hand.
authors: Handchirurgie, Abteilung für Hand-, Ästhetische und Plastische Chirurgie, Elbe Klinikum Stade, Bremervörder Straße 111, 21682, Stade, Deutschland. bernd.hohendorff@hotmail.com.
authors: B
authors: B
authors: Hohendorff
authors: Klinik für Unfallchirurgie und Orthopädie, Elbe Klinikum Stade, Stade, Deutschland.
authors: J
authors: J
authors: Franke
authors: Handchirurgie, Vulpius Klinik, Bad Rappenau, Deutschland.
authors: C K
authors: CK
authors: Spies
authors: Unfall-, Hand- und Ellenbogenchirurgie, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum zu Köln, Köln, Deutschland.
authors: L P
authors: LP
authors: Müller
authors: Unfall-, Hand- und Ellenbogenchirurgie, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum zu Köln, Köln, Deutschland.
authors: C
authors: C
authors: Ries
mesh_terms: D001174:Arthrodesis / Q000379:methods; D001178:Arthroplasty; D004387:Dupuytren Contracture; D005384:Finger Joint / Q000473:pathology / Q000601:surgery; D006801:Humans; D016896:Treatment Outcome
keywords: Arthrodesis; Finger injuries; Finger joint; Joint diseases; Osteoarthrosis