Arthritis and instability of the proximal interphalangeal (PIP) joints of the hand leads to chronic pain and decreased hand function. Proximal interphalangeal joint arthrodesis is an effective means of restoring hand function. The tension band technique is a reliable and cost-effective means of stabilizing the arthrodesis while allowing early hand motion. The dorsal tension band causes compression at the arthrodesis site during active motion, further facilitating healing. The technique is cost effective, using inexpensive pins and a wire. Complications include delayed union, pin protrusion from the bone, and painful hardware.
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Accepted: April 23, 2007
Received: January 6, 2007
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
© 2007 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.