العربية 
DIP Arthrodesis
Stiffening/arthrodesis of the DIP joint
DIP Arthrodesis
Arthrodesis is a surgical procedure that fuses the bones in a joint, so they don’t move (no movement, no pain). Arthrodesis of the distal interphalangeal joint (DIPJ) in fingers is an accepted operative procedure to treat osteoarthritis, instability and joint deformity.
Patient selection
Patient with severe arthritic changes at the distal finger joints ( D-II – D-V), pain and axial malalignment (treatment of the last choice)
Consultation
In clinical practice, a detailed examination is carried out first to understand the following factors;
1) What bothers you
2) What are your expectations
3) previous therapeutic measures of arthrosis treatment including pain therapy
4) general health
5) lifestyle (sports)
6) Quality of the skin
7) medication
8) allergies
9) Handedness and occupation
The joints to be treated in the hand area are discussed and marked with the patient
Benefits
Benefits of this hand surgery in Dubai are that it can help you get rid of pain and bring stability to your hand.
Get An Appointment
Risks
With proper technique, rare episodes of bleeding, impaired sensibility, impaired wound healing, impaired bone healing, infection, etc.
Preparation
No specific preparation is needed.
Treatment
The joints to be corrected in the hand area are discussed and marked with the patient.
The procedure can be done as a day surgery case and in local anaesthesia (finger block).
Operation starts with the resection of residual joint parts and osteophytes.
There is a wide spectrum of recommended operative techniques, including cerclage wires, headless screws, bio-resorbable pins and lag screws.
After Care
- Antibiotics: single shot
- Pain medication: Arcoxia 90 – 120 mg (1-0-0) for 10 days
- Positioning: hand at heart level
- Immobilisation of PIP joint is necessary for 6 weeks. Mobilisation of the operated hand with finger splint should be done as soon as possible (daily live activities, driving a car, etc.)
- Sutures are removed 10 – 14 days after surgery
- X-ray control 6 weeks after surgery
- Keep stress on the treated hand less than 10 kg for 6 weeks, but no restriction after 12 weeks.
Results
Improvement of the overall function of the hand through good pain reduction, improvement of strength, reduction of obstruction of the gripping function due to crooked fingers, and improvement of aesthetics.
Our hand surgery specialist, Prof Dr Robert Hierner, sternly pursues quality and excellence while delivering reconstructive hand treatments. He has decades of experience, and his portfolio comprises varied, complex surgeries so far.
Patient Information
This patient information only gives a general introduction for a better understanding of aesthetic and medical surgeries. It cannot replace the personal and detailed doctor-patient discussion. To answer your questions about your personal, individual situation, arrange your non-binding personal consultation appointment.
