Key Points The success of the first generation of resurfacing implants was limited by inferior manufacturing processes and materials that were the best available at the time. Improvements in the understanding of tribology; improvements in materials, design, and surgical technique;…
Key Points Patient selection: Total hip arthroplasty (THA) should be reserved for patients with severe hip pathology who have failed a comprehensive nonoperative treatment program and who are capable, both physically and cognitively, of recovering from the surgery. In addition…
Key Points The outcome of total hip arthroplasty (THA) is generally excellent, resulting in long-lasting improvement in pain and function for the vast majority of patients. The profound improvement in pain and function associated with THA results in a large…
Introduction This chapter will highlight three available techniques to achieve a stable proximal interphalangeal (PIP) joint after dislocation and fracture-dislocations: extension block pinning, open reduction internal fixation (ORIF) including hemihamate arthroplasty, and dynamic external fixation. Many other treatment options exist.…
Introduction Proximal interphalangeal (PIP) joint injuries are common and in spite of seemingly minor injuries, these can affect the overall hand function. Stiffness is common with these injuries and there is often permanent residual swelling, changing the size of the…
Diaphyseal Fractures of the Proximal and Middle Phalanx Closed Reduction Percutaneous Pinning The majority of proximal phalanx fractures displace with apex volar angulation. Therefore closed reduction involves traction with simultaneous flexion at the metacarpophalangeal (MP) joint to 70–90 degrees and…
Introduction Fractures of the phalanges are common injuries, with reported rates of 340,000 per year. The majority occur following an accidental fall followed closely by injuries sustained after being struck by an object or person. While these are common injuries…
Introduction Dislocations of the metacarpophalangeal (MCP) joint of the hand are caused by trauma to the hand, typically from a fall, with forced hyperextension of the joint. Athletes may more frequently sustain these injuries particularly in contact sports or ball-handling…
Indications Metacarpal fractures are one of the most commonly sustained hand fractures and the overwhelming majority of these fractures may be treated nonoperatively with or without immobilization. Surgical intervention is frequently considered when the fracture leads to a functionally limiting…
Indications for Surgical Treatment Metacarpal fractures can be treated nonoperatively or operatively depending on the fracture characteristics of angulation, displacement, rotation, and stability following reduction when applicable. The osseous and soft tissue anatomy of the metacarpals provides functional stability to…