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Seventy-six patients underwent 103 arthrodeses of digital joints of the hand to treat
deformity, pain, or instability. Each fusion was done by means of a surgical technique
that allowed for proper positioning with minimal shortening. No bone graft was used.
Only one joint failed to fuse. Bony union was present in 10 weeks or less in 86% of
the digits. External immobilization was not used in one third of the joints, primarily
low-demand patients with rheumatoid arthritis. There were two superficial pin tract
infections that healed after pin removal and a course of oral antibiotics. This surgical
technique proved to be technically simple and allowed for easily adjusted positioning
of each joint without multiple osteotomies or excess shortening.
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Article info
Publication history
Accepted:
October 12,
1987
Received:
July 7,
1987
Footnotes
*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.
Identification
Copyright
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
