Our Summary

This research paper discusses a new surgical method for treating severe osteoarthritis in the finger joints, typically used when non-surgical treatments are ineffective. Traditional methods involve opening up the back of the joint, removing the damaged cartilage, and fusing the bones together. However, this can lead to complications with the soft tissues around the joint.

The researchers propose a less invasive technique. They make two small incisions - one on the side of the joint and another on the fingertip - and use these to access the joint. Using a small, round drill, they remove the damaged cartilage to allow the bones to connect directly. They then secure the joint in the correct position with a screw inserted through the fingertip incision.

The authors tested the procedure on four patients, three of whom had painful osteoarthritis and one who wanted the surgery for cosmetic reasons. All four patients were happy with the results and X-rays showed that their joints had fully healed within 8 to 12 weeks. The only complication was a minor skin burn caused by the drill getting hot, and the authors provide advice on how to prevent this.

In summary, this new minimally invasive technique for fusing finger joints is simple, reliable, and avoids some of the complications associated with traditional methods.

FAQs

  1. What is the new surgical method proposed for treating severe osteoarthritis in the finger joints?
  2. What were the results of the procedure when tested on patients?
  3. How does the new method differ from traditional methods of joint fusion surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about joint fusion is to follow post-operative care instructions closely to ensure proper healing and minimize the risk of complications. This may include keeping the surgical site clean and dry, avoiding putting too much pressure on the joint, and attending follow-up appointments as scheduled. Additionally, engaging in physical therapy as recommended can help improve joint flexibility and strength after fusion surgery.

Suitable For

Patients who are typically recommended joint fusion are those who have severe osteoarthritis in the finger joints and have not had success with non-surgical treatments. This procedure may also be recommended for patients who have experienced trauma to the joint or have a deformity that is causing pain and limited function. Additionally, joint fusion may be recommended for patients who have inflammatory arthritis, such as rheumatoid arthritis, that is not responding to other treatments. Overall, joint fusion is a treatment option for patients who have significant pain, limited range of motion, and functional impairment in their finger joints.

Timeline

Before joint fusion:

  1. Patient experiences severe osteoarthritis in the finger joints.
  2. Non-surgical treatments are ineffective in managing the pain and dysfunction.
  3. Patient and healthcare provider discuss surgical options, including traditional joint fusion.
  4. Decision is made to proceed with joint fusion surgery.

After joint fusion:

  1. Patient undergoes minimally invasive joint fusion surgery.
  2. Damaged cartilage is removed and bones are fused together using a screw.
  3. Patient experiences a short recovery period, typically 8 to 12 weeks.
  4. X-rays show the joint has fully healed.
  5. Patient reports reduced pain and improved function in the affected joint.
  6. Potential complications, such as minor skin burns, are managed and resolved.
  7. Patient is satisfied with the results of the surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about joint fusion using this new surgical method may include:

  1. What are the potential risks and complications associated with this minimally invasive technique compared to traditional methods?
  2. How long is the recovery time following joint fusion using this new method?
  3. Will I still have full range of motion in my finger joint after the fusion?
  4. How successful has this new surgical technique been in treating severe osteoarthritis in finger joints?
  5. Are there any specific post-operative care instructions I should follow to ensure optimal healing?
  6. Will I need physical therapy after the surgery to regain strength and mobility in my finger joint?
  7. What type of anesthesia is used during the procedure and what are the potential side effects?
  8. How soon after the surgery can I expect to see improvement in my symptoms of osteoarthritis?
  9. Are there any restrictions or limitations on activities that I should be aware of after the surgery?
  10. What is the long-term prognosis for joint fusion using this new minimally invasive technique?

Reference

Authors: Folberg CR, Alves JAO, Pereira FMS. Journal: Tech Hand Up Extrem Surg. 2022 Sep 1;26(3):146-151. doi: 10.1097/BTH.0000000000000375. PMID: 34856595