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Archives of Orthopaedic and Trauma Surgery

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01-04-2019 | Handsurgery

Biomechanical comparison of the proximal interphalangeal joint arthrodesis using a compression wire

Authors: Michael Millrose, Alexander Zach, Simon Kim, Claas Güthoff, Andreas Eisenschenk, Hans Christoph Vonderlind

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2019

Abstract

Introduction/aim

Arthrodesis of the proximal interphalangeal joint of the finger is a common procedure for the treatment of osteoarthritis. The aim of this biomechanical study was to compare the primary stability of one, respectively, two compression wires to intraosseous wiring and tension band wiring for the arthrodesis.

Materials and methods

The stability of the arthrodesis was tested by applying flexion (n = 11) and extension (n = 10) force with 10° bending. Arthrodesis was achieved by one, respectively, two crossed compression wires and intraosseous wiring. In a control group (n = 11) tension band wiring was tested to 10° flexion and extension as well.

Results

Mean values for flexion bending for intraosseous wiring were 10.94 N, for one compression wire 12.82 N, for tension band wiring 17.95 N, and for two crossed compression wires 20.42 N. Mean values for extension bending were 9.71 N for intraosseous wiring, 13.63 N for one compression wire, 21.43 N for tension band wiring and 22.56 N for two crossed compression wires.

Conclusion

The primary stability of the compression wires was statistically significant superior to intraosseous wiring. In comparison to tension band wiring which showed an intermediate stability. The application of a compression wire could be considered for further clinical testing in the arthrodesis of interphalangeal joints.

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Title: Biomechanical comparison of the proximal interphalangeal joint arthrodesis using a compression wire
Authors: Michael Millrose
Alexander Zach
Simon Kim
Claas Güthoff
Andreas Eisenschenk
Hans Christoph Vonderlind
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 4/2019
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-019-03119-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Biomechanical comparison of the proximal interphalangeal joint arthrodesis using a compression wire

Abstract

Introduction/aim

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction/aim

Materials and methods

Results

Conclusion

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