Research Article| Volume 13, ISSUE 4, P600-603, July 1988

Proximal interphalangeal joint arthrodesis with the Herbert screw

      This paper is only available as a PDF. To read, Please Download here.
      Numerous fixation techniques have been described to obtain successful proximal interphalangeal (PIP) joint arthrodesis. By use of the Herbert screw for compression, 50 (98%) out of 51 PIP joints were fused within 6 weeks. Biomechanically, PIP joint arthrodeses using the Herbert screw in cadaver joints were comparable to tension band arthrodeses evaluated by three-point bending. Herbert screw arthrodesis of the PIP joint achieves a high fusion rate with minimal external protection provided certain technical details are followed.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Nalebuff EA
        • Millender LH
        Surgical treatment of the swan-neck deformity in rheumatoid arthritis.
        Surg Clin North Am. 1975; 6: 733-752
        • Nalebuff EA
        • Millender LH
        Surgical treatment of the boutonniere deformity in rheumatoid arthritis.
        Surg Clin North Am. 1975; 6: 753-763
        • Leach RE
        • Bolton PE
        Arthritis of the carpometacarpal joint of the thumb.
        J Bone Joint Surg. 1968; 50A: 1 171-1 177
        • Mickel VL
        • Perry J
        • Garret AL
        Development of useful function in the severely paralyzed hand.
        J Bone Joint Surg. 1963; 45A: 933-952
        • Stark HH
        • Boyes JH
        • Wilson JN
        Mallet finger.
        J Bone Joint Surg. 1962; 44A: 1061-1068
        • Von Saal FH
        Intramedullary fixation in fractures of the hand and fingers.
        J Bone Joint Surg. 1953; 35A: 5-16
        • Littler JW
        Tendon transfers and arthrodeses in combined median and ulnar nerve paralysis.
        J Bone Joint Surg. 1949; 31A: 225-234
        • Granowitz S
        • Vainio K
        Proximal interphalangeal joint arthrodesis in rheumatoid arthritis.
        Acta Orthop Scand. 1966; 37: 301-310
      1. (326–7)
        • Boyes JH
        Bunnell's surgery of the hand.
        Lippincott, Philadelphia1970
        • Burton RI
        • Margies SW
        • Lunseth PA
        Small-joint arthrodesis in the hand.
        J Hand Surg. 1986; 11A: 678-682
        • Lister G
        Intraosseous wiring of the skeleton.
        J Hand Surg. 1978; 3A: 427-434
        • Robertson DC
        The fusion of the interphalangeal joints.
        Can J Surg. 1964; 7: 433-437
        • Hogh J
        • Jenson PO
        Compression-arthrodesis of finger joints using Kirschner wires and cerclage.
        Hand. 1982; 14: 149-152
        • Campbell R
        Experience of a hand surgery service.
        Br J Plast Surg. 1956; 9: 23
        • Moberg E
        • Henrikson B
        Technique for digital arthrodesis.
        Acta Chir Scand. 1959; 118: 331-338
        • Potenza AD
        A technique for arthrodesis of finger joints.
        J Bone Joint Surg. 1973; 55A: 1534-1536
        • Lewis RC
        • Nordyke MD
        • Terry JR
        The tenon method of small joint arthrodesis in the hand.
        J Hand Surg. 1986; 11A: 567-569
        • Kalbas H
        • Nicolle FV
        A new method of intramedullary peg arthrodesis for finger joints.
        Chir Plastica (Berl). 1974; 2: 169-174
      2. (193–4)
        • Heim U
        • Pfeiffer KM
        Small fragment set manual-technique recommended by the ASIF group.
        Springer-Verlag, Berlin1974
        • Paneva-Holevich E
        Compression osteosynthesis in the hand using a small nail-plate.
        J Bone Joint Surg. 1977; 59A: 464-466
        • Wright CS
        • McMurtry RY
        AO arthrodesis in the hand.
        J Hand Surg. 1983; 9A: 932-935
        • Micks JE
        • Hager DL
        A method of accelerating fusion of small joints.
        J Bone Joint Surg. 1968; 50A: 1269
        • Tupper JW
        A compression arthrodesis device for small joints of the hands.
        Hand. 1972; 4: 62-64
        • Wexler MR
        • Rasso M
        • Weinberg H
        Arthrodesis of finger joints by dynamic external compression.
        Plast Reconstr Surg. 1977; 59: 882-885
        • Leonard MH
        • Capen DA
        Compression arthrodesis of finger joints.
        Clin Orthop. 1979; 145: 193-198
        • Ferlic DC
        • Turner BD
        • Clayton ML
        Compression arthrodesis of the thumb.
        J Hand Surg. 1983; 8A: 207-210
        • Braun RM
        • Rhoades CE
        Dynamic compression for small bone arthrodesis.
        J Hand Surg. 1985; 10A: 340-343
        • Segmuller G
        Surgical stabilization of the skeleton of the hand.
        Baltimore: Williams & Wilkins. 1977; : 42-59
        • Allende BT
        • Engelen JC
        Tension-band arthrodesis in the finger joints.
        J Hand Surg. 1980; 5: 269-271
        • Stem PJ
        • Drury WJ
        Tension band arthrodesis of small joints.
        Contemp Orthop. 1984; 8: 59-62
        • Faithful CK
        • Herbert TJ
        Small joint fusions of the hand using the Herbert bone screw.
        J Hand Surg. 1984; 9B: 167-168