DIP Joint Fusion

Problem

  • Pain and deformity to the end joints of the fingers

Cause

  • Usually the cause is osteoarthritis, wear and tear
  • Occasionally post traumatic arthritis.

Diagnosis

  • The end joints are painful due to the arthritis
  • Bony spurs ‘Heberdens Nodes’ and deformity is easily seen
  • X-rays confirm the diagnosis.

Treatment

  • Surgical General Anaesthetic
  • Debridement of spurs and arthritic joint
  • Fusion of joint, either straight or in slight flexion
  • Fusion is performed with either wires or small screws

Potential Complications

  • Infection, Haematoma
  • Non Union
  • Irritation from metalware

Post Op Care

  • Dressing for 10 days
  • Protective splints and swelling management for six weeks
  • Check x-rays at six weeks and three months, to ensure union.
University Of Auckland Auckland Born Joint Surgery Fracs NZOA  University Of Auckland Auckland Born Joint Surgery Fracs