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Finger joints are of the most common site of osteoarthritis and include the DIP, PIP and the thumb saddle joint.
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Joint arthroplasty provides the best functional outcome for painful destroyed PIP joints, including the index finger.
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Adequate bone stock and functional tendons are required for a successful PIP joint replacement
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Fixed swan-neck and boutonnière deformity are better served with PIP arthrodesis rather than arthroplasty.
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Silicone implants are the gold standard in terms of implant choice. Newer two-component joints may have potential to correct lateral deformities and improve lateral stability.
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Different surgical approaches are used for PIP joint implant arthroplasty according to the needs and the experience of the surgeon.
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Post-operative rehabilitation is as critical as the surgical procedure. Early protected motion is a treatment goal.
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Revision and exchange PIP arthroplasty may successfully be used to treat chronic pain, but will not correct deformity.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180042
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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. 5330745 17. Röstlund T Somnier F Axelsson R . Denervation of the wrist joint--an alternative in conditions of chronic pain . Acta Orthopaedica Scandinavica 1980 51 609 – 616 . ( https://doi.org/10.3109/17453678008990850 ) 7446050 18. Buck
