Fifty-one consecutive arthrodeses (46 patients) of the first metacarpophalangeal joint were retrospectively reviewed, after fixation with a Leibinger low-profile titanium plate, using a cup-and-cone technique. Primary bone union was achieved in 98%. Three cases required removal of the plate and one case a tenolysis. Follow-up time was 13–92 months (mean 52). There was no correlation between patient satisfaction and position of fusion. We conclude that this technique gives a high rate of union, a short period of immobilization and rehabilitation, and a reliable position at the site of fusion.
AhmedHAShaikhNGoldieBS. Small joint fusion of the hand – a technique using Coughlin cup and cone reamers. J Hand Surg Br. 2003, 28: 590–2.
2.
BicknellR.TMacDermidJRothJ. Assessment of thumb metacarpophalangeal joint arthrodesis using a single longitudinal K-wire. J Hand Surg Am. 2007, 32: 677–84.
3.
BraunRMRhoadesCE. Dynamic compression for small bone arthrodesis. J Hand Surg Am. 1985, 10: 340–3.
4.
FaithfullD.KHerbertT.J. Small joint fusions of the hand using the Herbert bone screw. J Hand Surg Br. 1984, 9: 167–8.
5.
FerlicDCTurnerBDClaytonML. Compression arthrodesis of the thumb. J Hand Surg Am. 1983, 8: 207–10.
6.
HaganHJHastingsH. Fusion of the thumb metacarpophalangeal joint to treat posttraumatic arthritis. J Hand Surg Am. 1988, 13: 750–3.
7.
HarrisonSSmithPMaxwellD. Stabilization of the first metacarpophalangeal and terminal joints of the thumb. The Hand. 1977, 9: 241–8.
8.
HøghJJensenPØ. Compression-arthrodesis of finger joints using Kirschner wires and cerclage. The Hand. 1982, 14: 149–52.
9.
InglisAEHamlinCSengelmannRP. Reconstruction of the metacarpophalangeal joint of the thumb in rheumatoid arthritis. J Bone Joint Surg Am. 1972, 54: 704–12.
10.
KhuriSM. Tension band arthrodesis in the hand. J Hand Surg Am. 1986, 11: 41–5.
ListerG. Intraosseous wiring of the digital skeleton. J Hand Surg Am. 1978, 3: 427–35.
13.
MesserTMNagleJNMartinezAG. Thumb metacarpophalangeal joint arthrodesis using the AO 3.0-mm cannulated screw: Surgical technique. J Hand Surg Am. 2002, 27: 910–12.
14.
ProubastaILamasCTrullolsL. Arthrodesis of the metacarpophalangeal joint of the thumb using a Herbert screw. Tech Hand Upper Extrem Surg. 2006, 10: 73–8.
15.
SaldanaMJClarckENAulicinoPL. The optimal position for arthrodesis of the metacarpophalangeal joint of the thumb: A clinical study. J Hand Surg Br. 1987, 12: 256–9.
16.
SchmidtCCZimmerSMBolesD. Arthrodesis of the thumb metacarpophalangeal joint using a cannulated screw and threaded washer. J Hand Surg Am. 2004, 29: 1044–50.
17.
StanleyJKSmithEJMuirheadAG. Arthrodesis of the metacarpo-phalangeal joint of the thumb: A review of 42 cases. J Hand Surg Br. 1989, 14: 291–3.
18.
TupperJW. A compression arthrodesis device for small joints of the hands. The Hand. 1972, 4: 62–4.
19.
WrightCSMcMurtryRY. AO arthrodesis in the hand. J Hand Surg Am. 1983, 9: 932–5.
