{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:43:10Z","timestamp":1777549390778,"version":"3.51.4"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Septic joint arthritis in the small joints of the hand can be caused by penetrating trauma, ruptured ganglion cysts, or open joint dislocations, among others. The use of external fixation for the treatment of this condition has been reported in the past as a means of temporary joint distraction, or for secondary fusion procedures. In the present article, the authors describe a surgical technique involving the use of a low-cost external fixator for the primary arthrodesis of infected distal interphalangeal joints of the hand. The external fixator is fabricated with simple materials, threaded Kirshner wires, bone cement, and an insulin syringe, which the authors have used to fuse the distal interphalangeal joint primarily when destroyed by septic arthritis.<\/jats:p>","DOI":"10.1097\/bth.0000000000000361","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T23:03:37Z","timestamp":1626735817000},"page":"78-83","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["One-stage Distal Interphalangeal Joint Fusion With External Fixator for the Treatment of Septic Joint Arthritis"],"prefix":"10.1097","volume":"26","author":[{"given":"Jose","family":"Couceiro","sequence":"first","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel R.","family":"Sanchez-Crespo","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Higinio","family":"Ayala","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Del Canto","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Menendez","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, Department of Orthopedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Fernandez-Sampedro","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit, Hospital Universitario Marques de Valdecilla, Santander, Cantabria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,6]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/0072-968X(72)90015-0","article-title":"A compression arthrodesis device for small joints of the hands","volume":"4","author":"Tupper","year":"1972","journal-title":"Hand"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1097\/00006534-197712000-00006","article-title":"Arthrodesis of finger joints by dynamic external compression using dorsoventral Kirschner wires and rubber bands","volume":"60","author":"Wexler","year":"1977","journal-title":"Plast Reconstr Surg"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00003086-199407000-00019","article-title":"Compression arthrodesis of the small joints of the hand","volume":"304","author":"Seitz","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"R4-20250512","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1055\/s-2007-965137","article-title":"Septic arthritis of finger joints","volume":"39","author":"Angly","year":"2007","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1007\/s12593-014-0163-1","article-title":"systematic review of distal interphalangeal joint arthrodesis","volume":"6","author":"Dickson","year":"2014","journal-title":"J Hand Microsurg"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/0020-1383(93)90079-L","article-title":"Septic arthritis of the hand","volume":"24","author":"de Vries","year":"1993","journal-title":"Injury"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s12593-012-0069-8","article-title":"A simple and low-cost external fixator for infected hand injuries","volume":"5","author":"Wijffels","year":"2013","journal-title":"J Hand Microsurg"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.injury.2020.06.044","article-title":"The influence of biomechanical stability on bone healing and fracture-related infection: the legacy of Stephan Perren","volume":"52","author":"Foster","year":"2021","journal-title":"Injury"},{"key":"R9-20250512","first-page":"129","article-title":"The pathophysiology of joint infection","volume":"96","author":"Curtis","year":"1973","journal-title":"Clin Orthop"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:10:51Z","timestamp":1747066251000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,19]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000361","relation":{},"ISSN":["1531-6572"],"issn-type":[{"value":"1531-6572","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,19]]}}}