{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:10:03Z","timestamp":1777662603927,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T00:00:00Z","timestamp":1729209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The 2 primary surgical approaches for proximal interphalangeal joint (PIPJ) arthroplasty, dorsal or volar, have been extensively described in the literature. However, the ongoing debate regarding which approach offers superior results or is associated with fewer complications persists. This systematic review aims to compare the outcomes of PIPJ arthroplasty between the dorsal and volar approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A comprehensive search of multiple databases was conducted, and studies meeting predetermined criteria were included. Data extraction, assessment of bias risk, and statistical analysis were performed to compare treatment modalities. Outcome measures included range of motion (ROM), patient-reported outcome measures (PROMs), revisions, and reported complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 368 screened articles, 5 studies involving 302 patients (310 implants) were eligible for final review. No significant differences were observed between the 2 approaches regarding postoperative ROM (mean difference [MD] 2.24; 95% confidence interval [CI] \u22123.83, 8.32;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.47) and PROMs (standardized mean difference [SMD] 0.18; 95% CI \u22120.12, 0.48;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.25). Complication rates, including revision\/fusion, persistent pain, stiffness, infection, and dislocation, did not significantly differ between the approaches. Notably, dorsal approach was associated with higher risk of swan-neck deformity (9 out of 82 implants), while no such cases were reported in the volar approach (0 out of 101 implants).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite limitations and heterogeneity in the literature, both dorsal and volar approaches for PIPJ arthroplasty appear to yield equivalent outcomes for patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>II, therapeutic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241284670","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T11:59:12Z","timestamp":1729252752000},"page":"1265-1272","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Dorsal and Volar Approaches for Proximal Interphalangeal Joint Replacement: Comparing Outcomes Through Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6487-4805","authenticated-orcid":false,"given":"Gagandeep","family":"Mahi","sequence":"first","affiliation":[{"name":"Kettering General Hospital NHS Foundation Trust, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Ansong","sequence":"additional","affiliation":[{"name":"Brighton and Sussex NHS Foundation Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugene","family":"Gan","sequence":"additional","affiliation":[{"name":"Cardiff and Vale University Health Board, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasan","family":"Dehbozorgi","sequence":"additional","affiliation":[{"name":"Cardiff and Vale University Health Board, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0102-2167","authenticated-orcid":false,"given":"Han Hong","family":"Chong","sequence":"additional","affiliation":[{"name":"Cardiff and Vale University Health Board, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.023564"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2020.02.028"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.42076"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90096-A"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2006.02.005"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)38639-X"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199905000-00005"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.104B12.BJJ-2022-0946"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003260"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193411413851"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.1999.jhsu24a0073"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B10.29035"},{"key":"e_1_3_3_14_2","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.","journal-title":"BMJ"},{"key":"e_1_3_3_15_2","volume-title":"Cochrane handbook for systematic reviews of interventions 6.4","author":"Higgins J","year":"2023","unstructured":"Higgins J, Thomas J, Chandler J, et al. Cochrane handbook for systematic reviews of interventions 6.4. Cochrane, 2023."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1411"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944719861718"},{"issue":"5","key":"e_1_3_3_18_2","first-page":"303","article-title":"Proximal interphalangeal joint replacement: a comparison between the volar and dorsal approach","volume":"58","author":"Natera L","year":"2014","unstructured":"Natera L, Moya-G\u00f3mez E, Lamas-G\u00f3mez C, Proubasta I. Proximal interphalangeal joint replacement: a comparison between the volar and dorsal approach. Rev Esp Cir Ortop Traumatol. 2014;58(5):303-308.","journal-title":"Rev Esp Cir Ortop Traumatol"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193419891382"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200002000-00016"},{"issue":"2","key":"e_1_3_3_21_2","first-page":"190","article-title":"Proximal interphalangeal joint replacement: resurfacing pyrocarbon versus silicone arthroplasty","volume":"80","author":"Van Nuffel M","year":"2014","unstructured":"Van Nuffel M, Degreef I, Willems S, De Smet L. Proximal interphalangeal joint replacement: resurfacing pyrocarbon versus silicone arthroplasty. 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