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Chapter-214 Arthrodesis

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Thomas Binu P
2. P Kiran Sasi
ISBN
9789385891052
DOI
10.5005/jp/books/12869_215
Edition
3/e
Publishing Year
2016
Pages
10
Author Affiliations
1. Paul Brand Centre for Hand Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
2. Paul Brand Centre for Hand Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
Chapter keywords
Arthrodesis, carpometacarpal joint, metacarpophalangeal joint, proximal interphalangeal joint, distal interphalangeal joint, oblique osteotomy technique, chevron arthrodesis, cross K-wire technique, screw fixation

Abstract

Hand has 5 metacarpals and 14 phalanges. They have a head, shaft and a base. Joints in the hand include proximal and distal interphalangeal joints (PIP, DIP), metacarpophalangeal (MCP) joints and carpometacarpal (CMC) joints. A joint arthrodesis should only be considered when all other options have been expended or found not feasible for providing a painless mobile joint. The various conditions where arthrodesis of the hand joints may be considered are tabulated in this chapter. A number of surgical techniques have been described to attain successful arthrodesis of the joints using implants ranging from the ubiquitous K-wire, to locking plates. Oblique osteotomy technique, chevron arthrodesis, cup and cone arthrodesis, and tenon method are the surgical techniques described in this chapter. A broad discussion on arthrodesis of individual joints has been also provided in this chapter which includes interphalangeal joints arthrodesis, steinmann pin arthrodesis, screw fixation, MCP joint, CMC joint arthrodesis, etc.

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