Seitz William H, Marbella Marko E
Lutheran Hospital, Cleveland, OH 44113, USA.
Tech Hand Up Extrem Surg. 2013 Sep;17(3):169-72. doi: 10.1097/BTH.0b013e31829ba688.
Arthrodesis has been shown to be a successful operative procedure for the treatment of intractable pain, instability, and deformity of the distal interphalangeal joint of the fingers, and interphalangeal joint of the thumb. Multiple fixation techniques have been used in the past including Kirschner wires, tension bands, headless screws, or lag screws. Clinical results are generally acceptable, but complication rates have been reported to vary between 10% and 20%. Complications include nonunion, pain, malunion, infection, nerve injury, and protruding hardware. The aim of this study is to describe an alternative technique for arthrodesis of the distal interphalangeal joint of the fingers or interphalangeal joint of the thumb using Nitinol implants for intramedullary fixation with a minimal complication rate.
关节融合术已被证明是治疗手指远侧指间关节及拇指指间关节顽固性疼痛、不稳定和畸形的一种成功的手术方法。过去曾使用多种固定技术，包括克氏针、张力带、无头螺钉或拉力螺钉。临床结果总体上是可以接受的，但据报道并发症发生率在10%至20%之间。并发症包括骨不连、疼痛、畸形愈合、感染、神经损伤和植入物突出。本研究的目的是描述一种使用镍钛诺植入物进行髓内固定的替代技术，用于手指远侧指间关节或拇指指间关节的关节融合术，并发症发生率最低。
