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.
