gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Proximal Interphalangeal Joint (PIPJ) Arthroplasty for Osteoarthritis (OA) of the Index Finger

Meeting Abstract

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  • presenting/speaker Tomos Richards - Department of Orthopaedic Hand Surgery Swansea, Swansea, United Kingdom
  • Laura Ingham - Department of Orthopaedic Hand Surgery Swansea, Swansea, United Kingdom
  • Scott Stevens - Department of Orthopaedic Hand Surgery Swansea, Swansea, United Kingdom
  • Ian Russell - Department of Orthopaedic Hand Surgery Swansea, Swansea, United Kingdom
  • David Newington - Department of Orthopaedic Hand Surgery Swansea, Swansea, United Kingdom

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1563

doi: 10.3205/19ifssh1007, urn:nbn:de:0183-19ifssh10073

Veröffentlicht: 6. Februar 2020

© 2020 Richards et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: To determine the durability and functional outcome of PIPJ arthroplasty of the Index finger in patients with Osteoarthritis

Methods: Between 2005 & 2018 46 silastic PIPJ arthroplasties were undertaken in 38 patients at our Hand Unit. All were performed under local anaesthetic ring block. Eight patients underwent PIPJ arthroplasty in both Index fingers. Twenty six women and twelve men made up the cohort with a mean age of 62 years. Six patients had conversion from a previous arthrodesis to arthroplasty.

A retrospective analysis of all patients has been undertaken to determine the clinical results with particular reference to the development of angular deformity in an ulnar direction. Mean follow up was 8.2 years.

Results and Conclusions: Eight index fingers developed ulnar deviation greater than 10 degrees (2 in one patient) and there was one revision for a snapped prosthesis. There was a significant improvement in arc of movement from 10-35 degrees to 5-60 degrees with dramatic improvement in pain/VARs. All patients stated they would undergo their surgery again.

Silastic Interposition arthroplasty of the PIPJ of the Index finger is a durable procedure with excellent clinical outcomes. Our large study refutes the established technique of arthrodesis for Index finger OA with a low incidence of ulnar deviation and excellent patient satisfaction.