Dorsal Plate Fixation for Distal Interphalangeal Joint Arthrodesis of the Fingers and Thumb

Abstract

Arthrodesis is generally the most accepted surgical option for treatment of degenerative and traumatic conditions involving the distal interphalangeal joint of the fingers or the interphalangeal joint of the thumb. Ideal position of arthrodesis is thought to be slightly flexed to improve power, fine pinch, and grip. Different techniques have been described for distal finger joint arthrodesis, with most surgeons using straight intramedullary implants that obligate the joint to be positioned in neutral extension. In this article, we describe the operative technique to perform a distal finger joint arthrodesis in slight flexion using dorsal plate fixation. We also discuss a case of a patient with distal finger joint arthrodesis.