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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 7, 1016-1018.
doi: 10.1302/0301-620X.85B7.13821  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Percutaneous arthrodesis of small joints in the hand

A MINIMUM THREE-YEAR FOLLOW-UP

K. Mader, MD, Surgeon; T. Gausepohl, MD, Senior Trauma Surgeon; B. Wolfgarten, MD, Trauma Surgeon; and D. Pennig, MD, Professor and Director

Department of Trauma, Hand and Reconstructive Surgery, St Vinzenz Hospital, Merheimer Strasse 221-23, D-50733 Cologne, Germany.

Correspondence should be sent to Dr K. Mader.

Our aim in this prospective study was to evaluate a minimally invasive technique for percutaneous arthrodesis of the small joints in the hand. Thirteen arthrodeses were undertaken in 11 patients, eight women and three men. After the percutaneous removal of articular cartilage, the bony surfaces were aligned in a predetermined position and stabilised using a percutaneous screw system. The mean follow-up was 38.6 months (36 to 56). Bony union was achieved in 12 cases (ten patients) between nine and 12 weeks after surgery. In one patient a second operation was required to obtain union and another developed a painless nonunion after premature removal of the implants.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General