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MCP arthrodesis using an intramedullary interlocking device

BACKGROUND: A variety of metacarpophalangeal joint (MCPJ) arthrodesis techniques have been described for the treatment of symptomatic arthritis and instability of the thumb MCPJ including K wire fixation, tension-band arthrodesis, plate fixation, intramedullary screw, and other intramedullary device...

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Detalles Bibliográficos
Autores principales: Vanderzanden, Jacqueline C., Adams, Brian D., Guan, Justin J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4022958/
https://www.ncbi.nlm.nih.gov/pubmed/24839423
http://dx.doi.org/10.1007/s11552-013-9579-5
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author Vanderzanden, Jacqueline C.
Adams, Brian D.
Guan, Justin J.
author_facet Vanderzanden, Jacqueline C.
Adams, Brian D.
Guan, Justin J.
author_sort Vanderzanden, Jacqueline C.
collection PubMed
description BACKGROUND: A variety of metacarpophalangeal joint (MCPJ) arthrodesis techniques have been described for the treatment of symptomatic arthritis and instability of the thumb MCPJ including K wire fixation, tension-band arthrodesis, plate fixation, intramedullary screw, and other intramedullary devices. This study presents a retrospective review of one surgeon's initial series of patients undergoing thumb MCP arthrodesis using an intramedullary compression device with a fixed angle of 25°. METHODS: A retrospective chart and radiographic review of patients treated for thumb MCP arthrodesis using the intramedullary device was performed. Final radiographs were evaluated for arthrodesis angle, bony fusion, and implant fixation. Any complication found during surgery or the follow-up period was noted. RESULTS: In this study, 17 patients were reviewed. Indications for surgery were osteoarthritis (five patients), rheumatoid arthritis (three patients), MCP instability alone (seven patients), and post-traumatic conditions (two patients). Of these, 12 patients had a simultaneous trapeziometacarpal (TMC) soft tissue arthroplasty. Mean follow-up was 4.9 months. All 17 patients had clinical and radiographic evidence of fusion at an average of 7.9 weeks, with an average fusion angle of 24.4°. There were no hardware complications, no infections, no revisions, and no indications for hardware removal. DISCUSSION: Our study results indicate the technique promotes rapid union at a precise angle, provides strong fixation that does not require prolonged immobilization, does not cause hardware irritation, and can be used in conjunction with other procedures including TMC arthroplasty when MCP arthrodesis is indicated for joint instability.
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spelling pubmed-40229582014-05-16 MCP arthrodesis using an intramedullary interlocking device Vanderzanden, Jacqueline C. Adams, Brian D. Guan, Justin J. Hand (N Y) Surgery Articles BACKGROUND: A variety of metacarpophalangeal joint (MCPJ) arthrodesis techniques have been described for the treatment of symptomatic arthritis and instability of the thumb MCPJ including K wire fixation, tension-band arthrodesis, plate fixation, intramedullary screw, and other intramedullary devices. This study presents a retrospective review of one surgeon's initial series of patients undergoing thumb MCP arthrodesis using an intramedullary compression device with a fixed angle of 25°. METHODS: A retrospective chart and radiographic review of patients treated for thumb MCP arthrodesis using the intramedullary device was performed. Final radiographs were evaluated for arthrodesis angle, bony fusion, and implant fixation. Any complication found during surgery or the follow-up period was noted. RESULTS: In this study, 17 patients were reviewed. Indications for surgery were osteoarthritis (five patients), rheumatoid arthritis (three patients), MCP instability alone (seven patients), and post-traumatic conditions (two patients). Of these, 12 patients had a simultaneous trapeziometacarpal (TMC) soft tissue arthroplasty. Mean follow-up was 4.9 months. All 17 patients had clinical and radiographic evidence of fusion at an average of 7.9 weeks, with an average fusion angle of 24.4°. There were no hardware complications, no infections, no revisions, and no indications for hardware removal. DISCUSSION: Our study results indicate the technique promotes rapid union at a precise angle, provides strong fixation that does not require prolonged immobilization, does not cause hardware irritation, and can be used in conjunction with other procedures including TMC arthroplasty when MCP arthrodesis is indicated for joint instability. Springer US 2013-12-05 2014-06 /pmc/articles/PMC4022958/ /pubmed/24839423 http://dx.doi.org/10.1007/s11552-013-9579-5 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Surgery Articles
Vanderzanden, Jacqueline C.
Adams, Brian D.
Guan, Justin J.
MCP arthrodesis using an intramedullary interlocking device
title MCP arthrodesis using an intramedullary interlocking device
title_full MCP arthrodesis using an intramedullary interlocking device
title_fullStr MCP arthrodesis using an intramedullary interlocking device
title_full_unstemmed MCP arthrodesis using an intramedullary interlocking device
title_short MCP arthrodesis using an intramedullary interlocking device
title_sort mcp arthrodesis using an intramedullary interlocking device
topic Surgery Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4022958/
https://www.ncbi.nlm.nih.gov/pubmed/24839423
http://dx.doi.org/10.1007/s11552-013-9579-5
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