Proximal Interphalangeal (PIP) Joint Implant Arthroplasty Using a Volar Approach

Proximal interphalangeal (PIP) joint arthroplasty can provide pain-free and functional restoration to the mobility and stability of the joint. In cases with less than 30 degrees of deviation in the coronal plane, silicone implant interposition arthroplasty canbe used. While a dorsal approach is used most frequently, post-operative immobilization of varying amounts of time are required to allow for healing of the extensor mechanism. Although technically more demanding, the volar approach allows for immediate post-operative rehabilitation. In this case, a 65-year-old patient presented with painful osteoarthritis of the PIP joint of the right index finger, resulting in weakness of pinch and loss of motion. She has had a previous DIP arthrodesis. Plain radiographs revealed coronal deformity without sagittal malalignment, and 10-55 degrees of passive motion. A volar approach was recommended. This video describes the successful reconstruction of the index PIP joint using silicone implant arthroplasty from a volar approach.

Links

https://bit.ly/ASSH_Hande

Date

13/09/2021

Jurisdiction

USA

Lists This Video Appears In

List American Society for Surgery of the Hand

Filter

Wrist & Hand

American Society for Surgery of the Hand

Washington University School of Medicine St Louis

Dr Martin I. Boyer

Thumb CMC Arthritis: Fellowship Virtual Debate Series

Drs Buterbaugh, Putnam, Fitzpartick, and Stepan debate the merits of LRTI, Suture button suspension arthroplasty, Suture suspension arthroplasty with or without an implant, and arthrodesis for management of thumb CMC arthritis

Surgical Denervation of the Thumb Carpometacarpal Joint

Thumb carpal metacarpal joint (CMCJ) arthritis is common. Surgical denervation is an option for symptomatic CMCJ arthritis. Articular branches of denervation can be performed using a single volar incision. Synovectomy at the CMCJ can also be performed at the same time. Short recovery period is noted.