Surgical treatment of degenerative osteoarthritis of the fingers

Abstract

Degenerative osteoarthritis of the long fingers is rare and surgical management is often necessary if there is joint pain, however this indication should not only be based on radiographic imaging. The specific anatomical problems of the metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints are described. The surgical approach for each joint is described as well as functional management, in particular that of the extensor apparatus. Mobility should always be preserved for the MCP, arthroplasties are recommended for the PIP except for the index, and arthrodesis for the DIP. The different and most frequently used implants are described as well as the indications and expected results. The indications are discussed in relation to the limited results in the literature as well as the preferences of a panel of French hand surgeons.

Keywords: Arthrose; Articulation interphalangienne distale (IPD); Articulation interphalangienne proximale (IPP); Articulation métacarpophalangienne (MCP); Distal interphalangeal (DIP) joint; Metacarpophalangeal (MCP) joint; Osteoarthrosis; Proximal interphalangeal (PIP) joint.