Arthrodesis thumb

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Arthrodesis of the interphalangeal joint of the thumb is an effective treatment for pain, deformity, or instability at the joint. Arthroscopic interphalangeal arthrodesis of the thumb is a minimally invasive surgery and has better cosmetic results and less surgical trauma as compared with the open approaches. The purpose of this technical note is to report the details of the arthroscopic interphalangeal arthrodesis with oblique placement of the headless screw.

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Most activities that involve grasping or pinching are possible because of the thumb's remarkable range of motion. But dexterity comes at a price — an increased risk of osteoarthritis in the first carpometacarpal CMC joint, where the thumb meets the trapezium bone in the wrist. Sometimes the joint becomes so damaged that surgery is necessary.

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When arthroplasty fails, often due to pain or subsidence, salvage operations may be indicated. Fusion of the basilar thumb joint is an option but may have increased complications. Current literature does not adequately outline the indications for and results of thumb arthrodesis in the setting of failed basilar thumb arthroplasty.

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Stable Fixation of the Hand and Wrist pp Cite as. Arthrodesis is an excellent and effective way to reconstruct the deformed, destroyed, or unstable interphalangeal joint of the thumb. Position can be from 0 to 30 degrees of flexion and is adjusted to suit the needs of the individual patient.

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Headless compression screws have become first choice for achieving arthrodesis in the distal interphalangeal joint and thumb interphalangeal joint. Only few comparisons between headless compression screws and other methods have been published. To assess healing and complication rate after arthrodesis of the distal interphalangeal joint or the thumb interphalangeal joint using a headless compression screw or Kirschner wires.

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Skip to search form Skip to main content. Arthrodesis of the thumb metacarpophalangeal joint with plate fixation. Using the principles of tension band fixation and interfragmentary compression, a high rate of fusion is achieved with a low incidence of complications.

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Thumb arthritis may be surgically treated with a fusion procedure. The bones that form the thumb joint are set so they can grow together, or fuse. After fusing, the joint won't move, and your pain should go away.

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This review includes a general review of the indications and technique of arthrodesis and recent review of the literature. However, no conclusive evidence demonstrates the superiority of arthrodesis. Several new articles have demonstrated good long-term results of carpometacarpal arthrodesis.

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Welcome to Peak Performance Physical Therapy's resource on thumb fusion surgery. Thumb arthritis may be surgically treated with a fusion procedure. The bones that form the thumb joint are set so they can grow together, or fuse.

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