Arthrodesis of Small Joints of the Hand Using Cerclage and a Single K Wire

Abstract

Arthrodesis for small joints of the hand is a well established technique for the treatment of joint instability, deformity and pain. A technique for compression arthrodesis in small joints of the hand utilizing both Kirschner wire and cerclage is reviewed. The results of a retrospective series of 44 small joint arthrodesis in 33 patients are presented. Indications for arthrodesis were trauma (28.3%), rheumatoid arthritis (30.5%), osteoarthritis (14.7%) and traumatic arthritis (26.5%). Patient age ranged from 18 to 73 years, and 38% were male. Joint fusion as determined by radiography occurred in 41 of 44 cases, representing a 93% success rate, comparable with that cited in the literature. Complications included nonunion in three cases and infection in two cases, leading to eventual amputation. The present technique represents a simple, fast and effective method for small joint arthrodesis of the hand.