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Massimo Ceruso Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Sandra Pfanner Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Christian Carulli Orthopaedic Clinic, University of Florence, Florence, Italy

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reconstruction of proximal interphalangeal (PIP) joints showed variable results and has been reported as less satisfactory. 2 Silicone spacers did not offer enough lateral stability, therefore showing high rates of angular instability and secondary wear

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Michael Millrose Department of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Center, Garmisch-Partenkirchen, Germany
Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany

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Markus Gesslein Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany

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Till Ittermann Institute for Community Medicine, SHIP/Clinical-Epidemiological Research, University of Greifswald, Greifswald, Germany

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Simon Kim Department of Trauma and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany

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Hans-Christoph Vonderlind Department of Trauma Surgery, Helios Kliniken Schwerin, Schwerin, Germany

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Mike Ruettermann Department of Plastic Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
Institute for Hand- and Plastic Surgery, Oldenburg, Germany

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Introduction Osteoarthritis of the proximal interphalangeal (PIP) joint, either primary or secondary, limits the range of motion and causes pain with or without instability, leading to significant global hand function impairment ( 1 ). Typical

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Daniel Herren Schulthess Klinik, Zurich, Switzerland

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Introduction Destruction of a proximal interphalangeal (PIP) joint is either a result of an inflammatory/degenerative process or is post-traumatic. It is a clinical diagnosis and is confirmed with conventional radiographic examination ( Fig. 1

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Marco Guidi Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Florian S. Frueh Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Inga Besmens Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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Maurizio Calcagni Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland

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intramedullary headless compression screw (IMCS) fixation of the proximal phalanx. Retrograde intra-articular technique Retrograde headless compression screws may also be introduced through the proximal interphalangeal joint. 5 For this purpose

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Karan Malhotra Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Kinner Davda Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Dishan Singh Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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phalanx. The FDL flexes the distal interphalangeal joint (DIPJ) and the FDB flexes the proximal interphalangeal joint (PIPJ) ( Fig. 1 ). Fig. 1 a) Anatomy of the flexor and extensor tendons of the lesser toes and their relationships. The extensor

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Bryant Ho Hinsdale Orthopaedics, Hinsdale, Illinois, USA

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Judith Baumhauer University of Rochester, Department of Orthopaedics, Rochester, New York, USA

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of motion may indicate more advanced arthritis. Patients may also demonstrate hyperextension of the first interphalangeal (IP) joint as a reaction to limited first MTP dorsiflexion. Normal first MTP motion consists of approximately 75° of

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Ali-Asgar Najefi Foot & Ankle Unit, Royal National Orthopaedic Hospital, UK

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Luckshmana Jeyaseelan Foot & Ankle Unit, Royal National Orthopaedic Hospital, UK

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Matthew Welck Foot & Ankle Unit, Royal National Orthopaedic Hospital, UK

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metatarsal head to a firm attachment on the proximal phalanx. The hallux MTP joint has a number of dynamic stabilizers. They are the short flexor complex (the flexor hallucis brevis (FHB) and the sesamoids embedded in the FHB tendons), the adductor hallucis

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Lorenz Pisecky Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias Luger Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Antonio Klasan Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Tobias Gotterbarm Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias C. Klotz Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Rainer Hochgatterer Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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al, 2006 28 A bioabsorbable fixation implant for use in proximal interphalangeal joint (hammer toe) arthrodesis: biomechanical testing in a synthetic bone substrate Technical note n.a. Hammer toe Arthrodesis Polylactide Synthetic bone

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David Eckerdal Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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Hendrik Pakosta Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden

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Muhanned Ali Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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Isam Atroshi Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
Department of Clinical Sciences - Orthopedics, Lund University, Lund, Sweden

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either mean or median (range). MCP, metacarpophalangeal joint; PIP, proximal interphalangeal joint; PNF, percutaneous needle fasciotomy. Modified Jadad scale The modified Jadad score ranged from 1 to 2 points. All articles were

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Elena Bravo Plastic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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Raul Barco Upper Limb Unit, Orthopedic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Haemophilia Orthopedic Unit, Orthopedic Surgery Department, Hospital Universitario La Paz, Madrid, Spain

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are predominantly involved (42 of 50 joints) in the hand. 8 Van Deukeren et al described the involvement of the different joints with bleeding in MCP joints in 52% of cases, proximal interphalangeal (PIP) joints in 48%, and distal interphalangeal

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