Wu John C, Calandruccio James H, Weller William Jacob, Henning Peter R, Swigler Colin W
Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.
Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.
Orthop Clin North Am. 2019 Oct;50(4):489-496. doi: 10.1016/j.ocl.2019.05.004. Epub 2019 Jul 5.
The distal interphalangeal (DIP) joints are subjected to the highest joint forces in the hand, and at least 60% of individuals older than age 60 years have DIP joint arthritis. Debridement of degenerative distal interphalangeal joints with mild to moderate disease can provide satisfactory outcomes; however, those joints with more severe angular and rotation changes are reliably treated with fusions. Regardless of the fixation method, DIP fusions have high success rates, are well tolerated, and are extremely durable.
远侧指间关节（DIP）承受着手部最大的关节力，60岁以上的人群中至少60%患有DIP关节关节炎。对患有轻至中度疾病的退行性远侧指间关节进行清创术可取得满意的效果；然而，对于那些有更严重角度和旋转变化的关节，融合术是可靠的治疗方法。无论采用何种固定方法，DIP关节融合术成功率高，耐受性好，且极其持久。
