A Simplified Lateral Hinge Approach to the Proximal Interphalangeal Joint
2015 (English)In: Techniques in Hand & Upper Extremity Surgery, ISSN 1089-3393, E-ISSN 1531-6572, Vol. 19, no 3, 129-132 p.Article in journal (Refereed) Published
Proximal interphalangeal joint replacement is an effective treatment for painful arthritis affecting the joint. However, the complication rate is relatively high, with many of these complications related to soft-tissue imbalance or instability. Volar, dorsal, and lateral approaches have all been described with varying results. We describe a new simplified lateral hinge approach that splits the collateral ligament to provide adequate exposure of the joint. Following insertion of the prosthesis the collateral ligament is simply repaired, side-to-side, which stabilizes the joint. As the central slip, opposite collateral ligament, flexor and extensor tendons have not been violated, early active mobilization without splinting is possible, and the risk of instability, swan-neck, and boutonniere deformity are reduced. The indications, contraindications, surgical technique, and rehabilitation protocol are described.
Place, publisher, year, edition, pages
2015. Vol. 19, no 3, 129-132 p.
Activities of daily living, distal interphalangeal joint, interphalangeal joint, metacarpophalangeal joint, proximal range of motion
IdentifiersURN: urn:nbn:se:umu:diva-120762DOI: 10.1097/BTH.0000000000000094PubMedID: 26230632OAI: oai:DiVA.org:umu-120762DiVA: diva2:929871