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Position of thumb ip fusion

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Functional Fusion Angle for Thumb Interphalangeal Joint Arthrodesis

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Functional Fusion Angle for Thumb Interphalangeal Joint Arthrodesis

Hand surgeons treat many patients who suffer from the sequelae of osteoarthritis, inflammatory arthritis, and joint trauma. Conservative treatment with nonsteroidal anti-inflammatory drugs, steroid injections, splinting, and hand therapy may help relieve symptoms temporarily. However, once these options fail, patients may require more invasive treatment for their symptoms. Arthrodesis continues to be a realistic option in the treatment of pain, deformity, and instability of the carpometacarpal, metacarpophalangeal, and interphalangeal joints of the thumb. Few data exist regarding the epidemiology of arthrosis of the interphalangeal joint.
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This study evaluates the preferred thumb IP joint position with certain tasks of daily living to determine a more satisfactory angle. All tasks were performed both at baseline without any splinting and with the thumb splinted in each angle. Participants used a point Visual Analogue Scale VAS to rate the ease of each task as well as their overall satisfaction at baseline and at each of the various angles for their dominant and nondominant hand. Thumb interphalangeal IP joint arthrodesis is a recognized and accepted treatment option for certain thumb IP joint disorders, including rheumatoid arthritis, posttraumatic arthritis, instability, and osteoarthritis.
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