A Simplified Lateral Hinge Approach to the Proximal Interphalangeal Joint.

Gregory Bain, Duncan McGuire, A McGrath

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)129-132
    Number of pages4
    JournalTechniques in Hand & Upper Extremity Surgery
    Volume19
    Issue number3
    DOIs
    Publication statusPublished - 1 Oct 2015

    Keywords

    • anatomy
    • arthroplasty
    • joint replacement
    • proximal interphalangeal joint
    • surgical approach

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