Prosthetic Arthroplasty Versus Arthrodesis for Osteoarthritis and Posttraumatic Arthritis of the Index Finger Proximal Interphalangeal Joint

Twenty seven opponensplasties for ulnar and median paralysis in 25 leprosy patients were performed using extensor indicis proprius. An additional transfer of the radial half of flexor pollicis longus to extensor pollicis longus was done to stabilize the metacarpophalangeal joint of the thumb. The biomechanical aspects of extensor indicis proprius tendon transfer were studied and results evaluated using various anatomical and functional parameters. Extensor indicis proprius provides adequate strength to position the thumb. However, sometimes it does not reach its new insertion. There is no significant deficit at the donor site but in a few cases the index finger may lose its capability for independent extension and sometimes a proximal interphalangeal joint contracture may develop.

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Arthroplasty of the proximal interphalangeal joint with the Tactys® modular prosthesis: Results in case of index finger and clinodactyly

Hand Surgery and Rehabilitation ◽

10.1016/j.hansur.2019.03.001 ◽

2019 ◽

Vol 38 (3) ◽

pp. 179-185

Author(s):

A. Griffart ◽

H. Agneray ◽

T. Loubersac ◽

E. Gaisne ◽

P. Bellemère

Keyword(s):

Index Finger ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Modular Prosthesis

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Immediate Free Vascularized Joint Transfer from Second Toe to Index Finger Proximal Interphalangeal Joint: A Case Report

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(85)80026-7 ◽

1985 ◽

Vol 10 (1) ◽

pp. 85-89 ◽

Cited By ~ 8

Author(s):

T. M. TSAI ◽

R. SINGER ◽

E. ELLIOTT ◽

H. KLEIN

Keyword(s):

Index Finger ◽

Extensor Tendon ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Severe Injuries ◽

Immediate Reconstruction ◽

Joint Reconstruction ◽

Results Of Treatment ◽

Second Toe

The results of treatment of severe injuries to the proximal interphalangeal joint are unsatisfactory. The methods of joint reconstruction are discussed, including fusion, implant arthroplasty, perichondrial grafting and vascularized joint transfer. A patient is presented with a severe crush injury to the dorsum of the index finger with loss of skin and extensor tendon and proximal interphalangeal joint disruption. Immediate reconstruction of the finger is described using a composite free flap of skin, extensor tendon and proximal interphalangeal joint from the second toe. Follow-up at two years is described, demonstrating proximal interphalangeal motion and finger function.

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Proximal interphalangeal joint silicone arthroplasty for posttraumatic arthritis

The Journal Of Hand Surgery ◽

10.1053/jhsu.1999.jhsu24a0073 ◽

1999 ◽

Vol 24 (1) ◽

pp. 73-77 ◽

Cited By ~ 36

Author(s):

J.Joris Hage ◽

Eveline P.D. Yoe ◽

Julia P. Zevering ◽

Peter J.M. de Groot

Keyword(s):

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Posttraumatic Arthritis

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The effect of digital nerve block on position sense at the proximal interphalangeal joint of the human index finger

Brain Research ◽

10.1016/0006-8993(87)90522-1 ◽

1987 ◽

Vol 425 (2) ◽

pp. 369-371 ◽

Cited By ~ 17

Author(s):

William R. Ferrell ◽

Alan Smith

Keyword(s):

Nerve Block ◽

Index Finger ◽

Position Sense ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Digital Nerve ◽

Digital Nerve Block

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Pollicization of the index finger requiring secondary fusion of the new metacarpophalangeal joint

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193415587242 ◽

2015 ◽

Vol 41 (3) ◽

pp. 295-300 ◽

Cited By ~ 3

Author(s):

M. M. Al-Qattan

Keyword(s):

Index Finger ◽

Case Series ◽

Metacarpophalangeal Joint ◽

Flexion Contracture ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Long Term Study ◽

Current Series ◽

Early Functional Outcome

In children with absent thumbs, some authors have stated that ‘relative’ contraindications of pollicization include severe fixed flexion contracture and instability of the proximal interphalangeal joint of the index finger. The current author does not consider severe proximal interphalangeal joint deformities of the index finger as a contraindication to pollicization; and hence these children are offered the procedure. A literature review did not reveal any study that specifically documents the outcome of pollicization in these cases. The current series included five children: four with severe (over 80°) fixed flexion contracture of the proximal interphalangeal joint of the index finger and one with instability of the proximal interphalangeal joint. All children were initially assessed during infancy at their local hospitals and the parents were informed that a pollicization procedure would yield a poor outcome. Presentation to the author was relatively late at a mean of 9.3 years (range 2.5–12). All children underwent two surgical procedures: a pollicization followed by fusion of the new metacarpophalangeal joint. The overall early functional outcome was good and all children/parents were satisfied with the procedure. These encouraging results warrant a prospective long term study on various conditions that are considered as ‘relative’ contraindications to the pollicization procedure. Level evidence: IV Therapeutic (case series)

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