Factors Associated With Complications and Reoperations in Distal Interphalangeal Joint Fusion.

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-05-15 DOI:10.1177/15589447251334671

Cameron Roth, Dafang Zhang, Kyra A Benavent, Brandon E Earp, Philip E Blazar

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引用次数: 0

Abstract

Background: This objective of this study was to identify risk factors for complications and reoperations after distal interphalangeal joint arthrodesis.

Methods: A retrospective study was performed of all patients who underwent isolated distal interphalangeal joint arthrodesis between 2006 and 2019 at an integrated health system consisting of 2 Level I trauma centers and 2 community teaching hospitals. Demographics, implant, and treatment characteristics were collected from the medical record. The primary outcome was complication, and the secondary outcome was reoperation. Bivariate analyses were used to identify factors associated with our study outcomes.

Results: A total of 209 fingers in 187 patients were included in this study. The radiographic union rate of our cohort was 96.7%. Forty patients (21.4%) had a postoperative complication, and 30 patients (16.0%) underwent reoperation. The use of a graft was significantly associated with decreased risk of reoperation, however, smoking, diabetes mellitus and type of implant were not associated with complication or reoperation.

Conclusion: Although there are no specific risk factors associated with negative outcomes, the use of graft was associated with a decreased reoperation rate.

Level of evidence: III, Therapeutic.

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远端指间关节融合术并发症及再手术的相关因素。

背景：本研究的目的是确定远端指间关节融合术后并发症和再手术的危险因素。方法：回顾性研究2006年至2019年在2个一级创伤中心和2个社区教学医院组成的综合卫生系统中接受孤立远端指间关节融合术的所有患者。从医疗记录中收集人口统计学、植入物和治疗特征。主要结局为并发症，次要结局为再次手术。双变量分析用于确定与我们的研究结果相关的因素。结果：187例患者共209根手指纳入研究。我们的队列放射学愈合率为96.7%。术后并发症40例（21.4%），再手术30例（16.0%）。移植物的使用与再手术风险的降低显著相关，然而，吸烟、糖尿病和移植物类型与并发症或再手术无关。结论：虽然没有与不良结果相关的特定危险因素，但移植物的使用与再手术率的降低有关。证据等级：III，治疗性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.