{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:41:34Z","timestamp":1789411294999,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T00:00:00Z","timestamp":1658102400000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>In this retrospective study we aimed to analyse the risk factors for complications after different methods of distal interphalangeal arthrodesis in the hand. Forty-four per\u00a0cent were treated with K-wire\/cerclage fixation, 46% with X-fuse\u00ae implants (Stryker GmbH, Selzach, Switzerland) and 10% with headless compression screws (HBS\u00ae-screw, KLS Martin Group, Tuttlingen, Germany). The median follow-up was 16\u00a0weeks (range 6\u2013224). The overall complication incidence was 44% (minor complications 29% and major 15%). The logistic regression showed that osteoarthritis, revisional arthrodesis and smoking had a negative impact on the total complication incidence. A Cox-regression analysis showed that HBS\u00ae-screw arthrodesis was associated with a significantly lower incidence of major complications compared with K-wire\/cerclage and X-Fuse\u00ae-arthrodesis. Revisional arthrodesis was five times more frequently connected with major complications than primary surgery. Smokers were three times more likely to experience major complications than non-smokers. We conclude that arthrodesis of the distal interphalangeal joint often leads to complications. Risk factors must be kept in mind.<\/jats:p>\n                  <jats:p>Level of evidence: III<\/jats:p>","DOI":"10.1177\/17531934221111641","type":"journal-article","created":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T00:55:16Z","timestamp":1658192116000},"page":"907-914","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Risk factors in distal interphalangeal joint arthrodesis in the hand: a retrospective study of 173 cases"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5283-2322","authenticated-orcid":false,"given":"Alexander","family":"Runkel","sequence":"first","affiliation":[{"name":"Department of Plastic and Hand Surgery, Medical Center \u2013 University of Freiburg, Faculty of Medicine, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7519-5701","authenticated-orcid":false,"given":"Bastian","family":"Bonaventura","sequence":"additional","affiliation":[{"name":"Department of Plastic and Hand Surgery, Medical Center \u2013 University of Freiburg, Faculty of Medicine, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britta","family":"Sundermann","sequence":"additional","affiliation":[{"name":"Department of Plastic and Hand Surgery, Medical Center \u2013 University of Freiburg, Faculty of Medicine, Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horst","family":"Zajonc","sequence":"additional","affiliation":[{"name":"Department of Plastic and Hand Surgery, Medical Center \u2013 University of Freiburg, Faculty of Medicine, Freiburg, 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