Evidence map›Paper›PMID 36983647›Full record

ArticleJournal of personalized medicine2023

Arthrodesis of the Proximal Interphalangeal Joint of the Finger-A Biomechanical Study of Primary Stability.

Michael Millrose, Hans Christoph Vonderlind, Andreas Thannheimer, Till Ittermann, Johannes Rüther, Maximilian Willauschus, Hermann-Josef Bail, Andreas Eisenschenk

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Clinical medicine insights. Case reports · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Michael MillroseDepartment of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Centre, 82467 Garmisch-Partenkirchen, Germany.ORCID 0000-0002-8856-6441
Hans Christoph VonderlindDepartment of Trauma Surgery, HELIOS Hospital Schwerin-University Campus of MSH Medical School Hamburg, 19055 Schwerin, Germany.
Andreas ThannheimerDepartment of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Centre, 82467 Garmisch-Partenkirchen, Germany.
Till IttermannInstitute for Community Medicine, SHIP/Clinical-Epidemiological Research, University of Greifswald, 17475 Greifswald, Germany.
Johannes RütherDepartment of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, Germany.
Maximilian WillauschusDepartment of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, Germany.ORCID 0000-0003-1267-200X
Hermann-Josef BailDepartment of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, Germany.
Andreas EisenschenkDepartment of Hand Surgery and Microsurgery, University Medicine Greifswald, 17475 Greifswald, Germany.
Paracelsus Medizinische Privatuniversität · DEUniversitätsmedizin Greifswald · DEGarmisch-Partenkirchen Medical Center · DEMSH Medical School Hamburg – University of Applied Sciences and Medical University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis of the proximal interphalangeal (PIP) joint of the finger often leads to global hand-function detriment. Different techniques for the arthrodesis of the proximal interphalangeal joint have been described that all lead to union in a reasonable percentage of patients and period of time. This biomechanical study aims to analyze and compare the primary stability of different techniques of arthrodesis to render postoperative immobilization unnecessary.

methodsArthrodeses of 40° of composite cylinders were tested with different techniques in four-point bending for stability in extension as well as flexion.

resultsIn extension, the compression screw and the compression wires showed the highest stability-whereas in flexion, plate fusion was superior. Tension band, cerclage or compression screw fusion showed the best compromise in flexion/extension stability.

conclusionsFusion techniques that apply compression to the fusion show superior stability. Cerclage, tension band and compression screws might be able to provide enough stability to withstand the forces exerted during unencumbered activities of daily living. Arthrodesis with plates should be limited to patients with special indications and require immobilization during consolidation.

Indexed as

arthrodesisbiomechanical analysisprimary stability arthrodesisproximal interphalangeal joint

Identifiers

PMID36983647
PMCPMC10057979
OpenAlexW4323043795

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.