{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:40:05Z","timestamp":1747068005535,"version":"3.40.5"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Septic arthritis of the metacarpophalangeal joint (MCPJ) compromises 9% of hand infections in Singapore. Common surgical treatment is open arthrotomy and joint washout. The wound is often left open for drainage postoperatively. Repeated debridement and secondary closure are frequently needed after the index surgery. We describe a method of continuous catheter irrigation of septic MCPJ joint using an infant feeding catheter. This method provides great infection clearance to avoid repeated debridement and allows primary closure of the wound to avoid secondary closure. This method also significantly reduces postoperative pain so that to facilitate early mobilization of the joint, which is crucial for functional recovery. We illustrate the techniques of this procedure and key points of postoperative management in the ward with case examples to demonstrate its simplicity, safety, and efficacy in treating MCPJ septic arthritis.<\/jats:p>","DOI":"10.1097\/bth.0000000000000440","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T09:11:33Z","timestamp":1686129093000},"page":"220-224","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Techniques for Continuous Catheter Irrigation of a Septic Metacarpophalangeal Joint"],"prefix":"10.1097","volume":"27","author":[{"given":"Qiao","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duncan A.","family":"McGrouther","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,12]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/BF00352616","article-title":"Osteomyelitis and septic arthritis of the hand following human bites","volume":"14","author":"Resnick","year":"1985","journal-title":"Skeletal Radiol"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1016\/j.jhsa.2013.03.002","article-title":"Acute fight bite","volume":"38","author":"Shoji","year":"2013","journal-title":"J Hand Surg Am"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1097\/00000637-199906000-00007","article-title":"Septic arthritis of the metacarpophalangeal and interphalangeal joints of the hand","volume":"42","author":"Boustred","year":"1999","journal-title":"Annals of plastic surgery"},{"key":"R4-20250512","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/J.JHSB.2006.08.011","article-title":"Septic arthritis of the small joints of the hand","volume":"31","author":"Sinha","year":"2006","journal-title":"J Hand Surg Am"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1093\/cid\/ciz265","article-title":"Epidemiology, management, and outcomes of large and small native joint septic arthritis in adults","volume":"70","author":"McBride","year":"2020","journal-title":"Clin Infect Dis"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"ofx058","DOI":"10.1093\/ofid\/ofx058","article-title":"Pyogenic arthritis of the fingers and the wrist: can we shorten antimicrobial treatment duration?","volume":"4","author":"Meier","year":"2017","journal-title":"Open Forum Infect Dis"},{"key":"R7-20250512","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":"R8-20250512","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s15010-013-0566-0","article-title":"Antimicrobial management of septic arthritis of the hand and wrist","volume":"42","author":"Kowalski","year":"2014","journal-title":"Infection"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1142\/S0218810413500317","article-title":"Epidemiology of Hand Infection\u2014a comparative study between year 2000 and 2009","volume":"18","author":"Chong","year":"2013","journal-title":"Hand Surg"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/0007-1226(91)90069-V","article-title":"Catheter irrigation for treatment of pyogenic closed space infections of the hand","volume":"44","author":"Gosain","year":"1991","journal-title":"Br J Plast Surg"},{"key":"R11-20250512","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1054\/JHSB.1998.0009","article-title":"Nanchahal J. 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