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dc.contributor.authorFaulkner, H
dc.contributor.authorAn, V
dc.contributor.authorLawson, RD
dc.contributor.authorGraham, DJ
dc.contributor.authorSivakumar, BS
dc.date.accessioned2021-06-03T03:42:22Z
dc.date.available2021-06-03T03:42:22Z
dc.date.issued2021
dc.identifier.issn1558-9447
dc.identifier.doi10.1177/1558944721998019
dc.identifier.urihttp://hdl.handle.net/10072/404901
dc.description.abstractProximal interphalangeal joint (PIPJ) arthrodesis is a salvage option in the management of end-stage PIPJ arthropathy. Numerous techniques have been described, including screws, Kirschner wires, tension band wiring, intramedullary devices, and plate fixation. There remains no consensus as to the optimum method, and no recent summary of the literature exists. A literature search was conducted using the MEDLINE, EMBASE, and PubMed databases. English-language articles reporting PIPJ arthrodesis outcomes were included and presented in a systematic review. Pearson χ2 and 2-sample proportion tests were used to compare fusion time, nonunion rate, and complication rate between arthrodesis techniques. The mean fusion time ranged from 5.1 to 12.9 weeks. There were no statistically significant differences in fusion time between arthrodesis techniques. Nonunion rates ranged from 0.0% to 33.3%. Screw arthrodesis demonstrated a lower nonunion rate than wire fusion (3.0% and 8.5% respectively; P = .01). Complication rates ranged from 0.0% to 22.1%. Aside from nonunions, there were no statistically significant differences in complication rates between arthrodesis techniques. The available PIPJ arthrodesis techniques have similar fusion time, nonunion rate, and complication rate outcomes. The existing data have significant limitations, and further research would be beneficial to elucidate any differences between techniques.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherSAGE Publications
dc.relation.ispartofjournalHand
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3202
dc.subject.keywordsarthrodesis
dc.subject.keywordsproximal interphalangeal joint
dc.subject.keywordssystematic review
dc.titleProximal Interphalangeal Joint Arthrodesis Techniques: A Systematic Review
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationFaulkner, H; An, V; Lawson, RD; Graham, DJ; Sivakumar, BS, Proximal Interphalangeal Joint Arthrodesis Techniques: A Systematic Review, Hand, 2021
dc.date.updated2021-06-03T01:20:31Z
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.d
gro.hasfulltextNo Full Text
gro.griffith.authorGraham, David J.


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