{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:57:46Z","timestamp":1790521066988,"version":"4.1.0"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"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.)"],"abstract":"<jats:p>Advanced proximal interphalangeal (PIP) joint contracture presents a surgical challenge, particularly in patients who require preservation of joint motion. Arthrodesis provides reliable pain relief, but eliminates motion, whereas implant arthroplasty may be associated with mechanical complications and implant failure. We report a case of severe degenerative PIP joint contracture treated with meniscus allograft interpositional arthroplasty combined with intramedullary bioabsorbable pin fixation. Preoperatively, the joint was fixed at 60\u00b0 of flexion. At 1-year follow-up, active range of motion improved to 20\u00b0 to 105\u00b0, with passive motion of 0\u00b0 to 115\u00b0. Functional outcomes improved, with the Quick Disabilities of the Arm, Shoulder, and Hand score decreasing from 56.8 to 15.9 and the visual analog scale pain score improving from 7 to 1. Radiographs demonstrated maintained joint alignment without graft migration or subluxation. This case demonstrates that meniscus allograft interposition with intramedullary bioabsorbable fixation may provide a motion-preserving reconstructive option for selected patients with advanced PIP joint contracture.<\/jats:p>","DOI":"10.1177\/15589447261483166","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:15:59Z","timestamp":1790316959000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Meniscus Allograft Interpositional Arthroplasty With Elastic Intramedullary Bioabsorbable Pin Fixation for Proximal Interphalangeal Joint Contracture"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1096-2265","authenticated-orcid":false,"given":"Ching-Hsin","family":"Chou","sequence":"first","affiliation":[{"name":"Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Cheng","family":"Lin","sequence":"additional","affiliation":[{"name":"Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Chen","family":"Li","sequence":"additional","affiliation":[{"name":"Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1694-7579","authenticated-orcid":false,"given":"Chen-Chie","family":"Wang","sequence":"additional","affiliation":[{"name":"Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"},{"name":"Tzu Chi University, Hualien, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5646-9308","authenticated-orcid":false,"given":"Po-Chih","family":"Chow","sequence":"additional","affiliation":[{"name":"Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/17531934241265837"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2017.12.008"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009359"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.2.160041"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001257"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003520"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.09.022"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2020.1738239"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002556"},{"key":"e_1_3_2_11_2","first-page":"38","article-title":"Distal interphalangeal joint silicone interpositional arthroplasty of the hand","volume":"342","author":"Wilgis EF.","year":"1997","unstructured":"Wilgis EF. Distal interphalangeal joint silicone interpositional arthroplasty of the hand. Clin Orthop Relat Res. 1997;342:38-41.","journal-title":"Clin Orthop Relat Res"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447261483166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447261483166","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447261483166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:30:38Z","timestamp":1790519438000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447261483166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":10,"alternative-id":["10.1177\/15589447261483166"],"URL":"https:\/\/doi.org\/10.1177\/15589447261483166","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"15589447261483166"}}