The Comparison of Latero-Medial Versus Dorso-Palmar/Plantar Drilling for Cartilage Removal in the Proximal Interphalangeal Joint

Overview

Journal Animals (Basel)

Date 2021 Jul 2

PMID 34205601

Citations 1

Authors

Alessandro Spadari

Giulia Forni

Sara Del Magno

Claudio Tagliavia

Marco Canova

Annamaria Grandis

Riccardo Rinnovati

Affiliations

Soon will be listed here.

Abstract

The aims of the present study were to compare the percentages of articular cartilage removed using a lateral drilling approach of the proximal interphalangeal joint (PIPJ) and a dorsal drilling approach, and to assess the usefulness of digital fluoroscopy when performing a lateral drilling approach. Sixty cadaveric PIPJs were drilled using a surgical drill bit to remove the articular cartilage. The limbs were divided into three groups containing 10 forelimbs and 10 hindlimbs each. One group received the dorsal drilling approach, the second one received the lateral drilling approach and the last one received the lateral drilling approach under digital fluoroscopy guidance. The percentage of articular cartilage removed from each articular surface was assessed using Adobe Photoshop software. The percentages of removed cartilage turned out to be significantly higher with lateral approach, especially under fluoroscopic guidance, both in the forelimbs ( = 0.00712) and hindlimbs ( = 0.00962). In conclusion, the lateral drilling approach seems to be a minimally invasive technique with which to perform PIPJ arthrodesis, even more efficient than the previously reported dorsal approach.

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Simple Arthroscopic Technique to Perform Retrograde Drilling for Osteonecrosis of the Femoral Condyles with the Use of Anterior Cruciate Ligament Guide.

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PMID: 36865436 PMC: 9974024. DOI: 10.18295/squmj.8.2022.047.

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