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

dc.contributor.authorBreyer, JM
dc.contributor.authorVergara, P
dc.contributor.authorParra, L
dc.contributor.authorSotelo, P
dc.contributor.authorBifani, A
dc.contributor.authorAndrade, F
dc.date.accessioned2017-05-03T19:30:25Z
dc.date.available2017-05-03T19:30:25Z
dc.date.issued2015
dc.description.abstractA 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.
dc.format.extent5
dc.identifier.citationBreyer JM, Vergara P, Parra L, Sotelo P, Bifani A, Andrade F. Metacarpophalangeal and interphalangeal joint arthrodesis: a comparative study between tension band and compression screw fixation. J Hand Surg Eur Vol. 2015 May;40(4):374-8.
dc.identifier.urihttp://hdl.handle.net/11447/1185
dc.identifier.urihttp://dx.doi.org/10.1177/1753193413514362
dc.language.isoen_US
dc.publisherSage Publications
dc.subjectFinger arthrodesis
dc.subjectfusion
dc.subjectscrew
dc.subjecttension band
dc.titleMetacarpophalangeal and interphalangeal joint arthrodesis: a comparative study between tension band and compression screw fixation
dc.typeArtículo

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