Lin EA, et al. – This study assessed the safety as well as efficacy of open cheilectomy and debridement of the distal interphalangeal (DIP) joint as an alternative to joint arthrodesis for the treatment of symptomatic osteoarthritis. As an alternative to DIP joint arthrodesis, open DIP joint cheilectomy represents a safe and effective treatment option for cases where preservation of joint motion is intended.

Methods

• Researchers retrospectively reviewed 78 patients with symptomatic DIP joint osteoarthritis and with a minimum follow-up of 24 months.
• Preoperative radiographs were graded.
• All patients underwent open cheilectomy and debridement of the DIP joint.
• The DIP joint was immobilized for 4 weeks after surgery.
• Clinical as well as radiographical assessment was done and visual analog scale pain scores and range of motion were assessed.

Results

• Findings demonstrated that at a median final follow-up of 36 months (minimum, 24 months), there was a significant improvement in mean visual analog scale pain scores from 8 to 1.
• Researchers observed that distal interphalangeal joint flexion contracture was improved by a mean of 6° and DIP joint range of motion was improved by a mean of 20°.
• They did not report any postoperative infections or other complication.
• Data showed that no reoperations were required/performed during the follow-up period.