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Metacarpophalangeal and interphalangeal joint arthrodesis: a comparative study between tension band and compression screw fixation

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dc.contributor.author Breyer, JM
dc.contributor.author Vergara, P
dc.contributor.author Parra, L
dc.contributor.author Sotelo, P
dc.contributor.author Bifani, A
dc.contributor.author Andrade, F
dc.date.accessioned 2017-05-03T19:30:25Z
dc.date.available 2017-05-03T19:30:25Z
dc.date.issued 2015
dc.identifier.citation J Hand Surg Eur Vol. 2015 May;40(4):374-8 es_CL
dc.identifier.uri http://dx.doi.org/10.1177/1753193413514362 es_CL
dc.identifier.uri http://hdl.handle.net/11447/1185
dc.description.abstract A retrospective, comparative cohort study was performed of metacarpophalangeal or proximal interphalangeal joint arthrodesis with either tension band (n = 28) or compression (Acutrak Mini) screw (n = 29) methods. We compared rate of union, healing time, complications, and re-operation rate. Union was achieved in 26/28 (92.8%) of the tension band group (9.4 weeks) and 24/28 (85.7%) of the compression screw group (9.8 weeks). Only 28 patients in the screw group were assessed for union as one patient in the screw group sustained a fracture at the time of insertion and was converted to tension band fixation. The complication rate was 8/28 (28.6%) in the tension band group and 8/29 (27.6%) in the compression screw group. Re-operation rate was 9/28 (32.1%) in the tension band group and 1/29 (3.6%) in the compression screw group. Our findings indicate that bone healing, healing time, and complications are similar in both groups. The tension band technique had a significantly higher re-operation rate (hardware removal), but was the technique for salvage following failure of the screw technique. es_CL
dc.format.extent 5 es_CL
dc.language.iso en_US es_CL
dc.publisher Sage Publications es_CL
dc.subject Finger arthrodesis es_CL
dc.subject fusion es_CL
dc.subject screw es_CL
dc.subject tension band es_CL
dc.title Metacarpophalangeal and interphalangeal joint arthrodesis: a comparative study between tension band and compression screw fixation es_CL
dc.type Artículo es_CL


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