{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T17:29:59Z","timestamp":1789234199719,"version":"build-2803163510"},"reference-count":21,"publisher":"World Scientific Pub Co Pte Ltd","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p> Background: Symptomatic distal interphalangeal (DIP) joint arthritis is frequently treated by arthrodesis, though DIP arthroplasty has been reported as a treatment option since 1977. This study reviews the current evidence on DIP joint arthroplasty for the treatment of arthritis refractory to non-operative management. <\/jats:p><jats:p> Methods: A systematic search of PubMed, MEDLINE and Embase databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Risk of bias was assessed using the ROBINS-I tool. <\/jats:p><jats:p> Results: The search yielded 55 records, of which six studies were included in the narrative review. All the included studies were of level IV evidence (case series or cohort studies). DIP arthroplasty was effective in relieving pain and reducing subsequent dysfunction. The average total arc of motion was 30\u00b0\u201340\u00b0 but with an extension lag of 10\u00b0\u201315\u00b0. The overall complication rate was 15% with a re-operation rate of 8%. Joint instability (incidence of 2.5%) and infection (incidence of 2.1%) were the most common complications, while implant fracture was seen in 1% of cases. Joints that failed after DIP arthroplasty were salvaged by DIP arthrodesis. <\/jats:p><jats:p> Conclusions: DIP arthroplasty is an effective treatment for painful arthritis but with a complication rate of 15%. Its main advantage over arthrodesis is the preservation of DIP motion. However, due to the limited high-quality evidence available, its use should be limited to circumstances where there is a desire or vocational need to maintain motion at the DIP joint. <\/jats:p><jats:p> Level of Evidence: Level V (Therapeutic) <\/jats:p>","DOI":"10.1142\/s2424835523500522","type":"journal-article","created":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T01:21:17Z","timestamp":1695864077000},"page":"427-434","source":"Crossref","is-referenced-by-count":3,"title":["Distal Interphalangeal Joint Arthroplasty: A Narrative Review"],"prefix":"10.1142","volume":"28","author":[{"given":"Devam","family":"MODI","sequence":"first","affiliation":[{"name":"Department of Hand, Plastic and Reconstructive Surgery, St Vincent\u2019s Hospital, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"SLEVIN","sequence":"additional","affiliation":[{"name":"Department of Hand, Plastic and Reconstructive Surgery, St Vincent\u2019s Hospital, Melbourne, Australia"},{"name":"Victorian Hand Surgery Associates, Fitzroy, Victoria, Australia"},{"name":"Orthopedic Department, Rabin Medical Center, Beilinson Hospital, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hargun","family":"BHALLA","sequence":"additional","affiliation":[{"name":"Department of Hand, Plastic and Reconstructive Surgery, St Vincent\u2019s Hospital, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"MCCOMBE","sequence":"additional","affiliation":[{"name":"Department of Hand, Plastic and Reconstructive Surgery, St Vincent\u2019s Hospital, Melbourne, Australia"},{"name":"Victorian Hand Surgery Associates, Fitzroy, Victoria, Australia"},{"name":"Hand and Wrist Biomechanics Laboratory, O\u2019Brien Institute\/St Vincent\u2019s Institute, Fitzroy, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony C.","family":"BERGER","sequence":"additional","affiliation":[{"name":"Department of Hand, Plastic and Reconstructive Surgery, St Vincent\u2019s Hospital, Melbourne, Australia"},{"name":"Victorian Hand Surgery Associates, Fitzroy, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan K. 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