Our Summary

This research paper is a detailed study of when and how to perform a specific type of surgery called proximal interphalangeal joint arthrodesis. This procedure is often recommended for a variety of health conditions and there are only a few reasons not to perform it. Even though there’s only one way to get to the joint that needs surgery, there are many different methods surgeons can use to fuse the joint, and several are discussed in this paper. This type of surgery has been found to have great results and is often successful.

FAQs

  1. What are the indications for proximal interphalangeal joint arthrodesis?
  2. What surgical techniques are used in proximal interphalangeal joint arthrodesis?
  3. What are the success rates and outcomes of proximal interphalangeal joint arthrodesis?

Doctor’s Tip

A helpful tip a doctor might tell a patient about joint fusion is to follow post-operative rehabilitation and physical therapy programs diligently to optimize the success of the fusion and ensure proper healing and function of the joint. It is important to follow all instructions provided by your healthcare provider to achieve the best possible outcome.

Suitable For

Patients who are typically recommended for joint fusion include those with severe arthritis, chronic joint instability, joint deformity, failed previous joint surgeries, and severe pain and limited function in the affected joint. Additionally, patients who have not responded to conservative treatments such as medication, physical therapy, and injections may also be candidates for joint fusion. It is important for patients to undergo a thorough evaluation by a healthcare professional to determine if joint fusion is the appropriate treatment option for their specific condition.

Timeline

Before joint fusion:

  1. Patient experiences pain, swelling, stiffness, and limited range of motion in the affected joint.
  2. Patient undergoes a thorough evaluation by a healthcare provider, including physical examination, imaging studies, and possibly other diagnostic tests.
  3. Healthcare provider recommends joint fusion surgery as a treatment option based on the severity of the joint damage and the patient’s overall health.
  4. Patient undergoes preoperative preparation, which may include medical clearance, physical therapy, and education on the surgery and recovery process.

After joint fusion:

  1. Patient undergoes joint fusion surgery, during which the affected joint is fixed in a permanent position using hardware such as screws, plates, or rods.
  2. Patient goes through a postoperative recovery period, which may involve pain management, physical therapy, and follow-up appointments with the healthcare provider.
  3. Over time, the joint fuses together, leading to decreased pain and improved stability in the affected area.
  4. Patient gradually resumes normal activities and experiences improved function and mobility in the joint.
  5. Long-term follow-up appointments are scheduled to monitor the fusion and address any complications or concerns that may arise.

What to Ask Your Doctor

  1. What are the specific indications for proximal interphalangeal joint fusion in my case?
  2. What are the potential risks and complications associated with this procedure?
  3. How long is the recovery process after proximal interphalangeal joint fusion?
  4. What are the expected outcomes and success rates of this procedure?
  5. Are there any alternative treatments or procedures that could be considered instead of joint fusion?
  6. What type of anesthesia will be used during the surgery?
  7. How long will I need to stay in the hospital after the procedure?
  8. Will I need physical therapy or rehabilitation after the surgery?
  9. How soon can I expect to regain full function and range of motion in my joint after the surgery?
  10. What is the long-term outlook for my joint health after proximal interphalangeal joint fusion?

Reference

Authors: Jung J, Haghverdian B, Gupta R. Journal: Hand Clin. 2018 May;34(2):177-184. doi: 10.1016/j.hcl.2017.12.007. PMID: 29625637