Abstract
Arthrodesis of the distal interphalangeal joint of the hand is a reliable procedure
for creating a painless stable joint. Numerous techniques are described within the
literature for varying indications. We undertook a systematic review of all studies
published within the English literature to provide a comparison of the different techniques.
The published studies were predominantly of Level IV evidence. The most commonly employed
techniques were Kirschner wire, headless compression screw and cerclage wires. There
was no difference in infection rates. Headless compression screws appear to have increased
union rates but are associated with complications not seen with other well-established
and cheaper techniques. The screw diameter is often similar to or larger than the
joint itself, which can result in penetration. Furthermore, they limit the available
angle for achieving fusion. Other than in terms of union, there is insufficient evidence
to show the headless compression screw is superior to other techniques.
Keywords
Arthrodesis - Review - Distal interphalangeal joint - Hand - Techniques
