Our Summary

This research paper is about a medical device used to treat arthritis in the proximal interphalangeal joint (PIPJ), which is an important joint for the function of the fingers and hand. Arthritis in this joint can cause a lot of pain and difficulties in performing daily activities. The APEX IP® Extremity Medical fusion device, made by a company in New Jersey, is a screw device that is inserted into the bone marrow. This device has proven to be a reliable way of fusing the PIPJ joint in the hand, leading to positive results for patients. The paper also provides a guide on how to perform this surgical procedure.

FAQs

  1. What is the APEX IP®Extremity Medical fusion device and how does it work?
  2. What is the purpose of the proximal interphalangeal joint (PIPJ) in hand function?
  3. What potential benefits does the APEX IP®Extremity Medical fusion device offer to patients with arthritis of the PIPJ?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hand surgery is to follow the post-operative care instructions carefully to ensure proper healing and optimal outcomes. This may include keeping the hand elevated, performing prescribed exercises, attending follow-up appointments, and avoiding activities that could strain the hand during the recovery period. It is important to communicate any concerns or changes in symptoms to your healthcare provider promptly.

Suitable For

Patients who may be recommended for hand surgery include those with:

  1. Arthritis of the proximal interphalangeal joint (PIPJ) causing significant pain and functional impairment
  2. Traumatic injuries to the hand or fingers, such as fractures or tendon injuries
  3. Congenital hand deformities or abnormalities
  4. Tumors or cysts affecting the hand or fingers
  5. Nerve compression syndromes, such as carpal tunnel syndrome
  6. Chronic conditions affecting the hand, such as Dupuytren’s contracture or trigger finger

Overall, individuals who are experiencing pain, limited range of motion, or functional limitations in their hands may benefit from hand surgery to improve their quality of life and regain proper hand function.

Timeline

Before hand surgery:

  1. Patient consults with a hand surgeon to discuss symptoms, diagnosis, and treatment options.
  2. Patient undergoes pre-operative testing and evaluation to assess overall health and suitability for surgery.
  3. Surgical plan is developed, including the use of the APEX IP®Extremity Medical fusion device for PIPJ arthrodesis.
  4. Patient receives pre-operative instructions and prepares for surgery.
  5. Surgery is performed to fuse the PIPJ using the APEX IP®Extremity Medical fusion device.

After hand surgery:

  1. Patient is monitored closely in the recovery room for any immediate post-operative complications.
  2. Patient is provided with post-operative care instructions, including wound care, pain management, and activity restrictions.
  3. Patient may undergo physical therapy and rehabilitation to regain strength and range of motion in the hand.
  4. Follow-up appointments are scheduled to monitor healing progress and assess outcomes.
  5. Patient gradually resumes normal activities and experiences improved hand function and reduced pain following successful PIPJ arthrodesis with the APEX IP®Extremity Medical fusion device.

What to Ask Your Doctor

  1. What is the specific reason for recommending hand surgery for my condition?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the success rate of this particular surgery for my condition?
  4. What is the expected recovery time and rehabilitation process?
  5. Will I need physical therapy after the surgery?
  6. How long will I need to take off work or limit certain activities?
  7. What type of anesthesia will be used during the surgery?
  8. Will I need to make any lifestyle changes before or after the surgery?
  9. How long will the effects of the surgery last?
  10. Are there any alternative treatments or procedures that I should consider before moving forward with surgery?

Reference

Authors: Taylor F, Johns N, Manohoran V, Graham D. Journal: J Hand Surg Asian Pac Vol. 2023 Apr;28(2):297-300. doi: 10.1142/S2424835523710029. Epub 2023 Apr 17. PMID: 37120298