Arthrodesis of the metacarpo-phalangeal joint of the thumb: a review of 42 cases.

42 arthrodeses of the metacarpo-phalangeal joint of the thumb in 34 patients have been reviewed at a mean of 22.5 months after operation. Where bone stock allowed, Omer's chevron arthrodesis was used. 83% of these operations were judged to have been successful by our patients, most of whom were suffering from inflammatory joint disease. Some patients had very poor pinch pressures when reviewed, but only those with persistent instability or pain were disappointed. All arthrodeses were fixed in flexion; although the angle varied, no ideal position was identified.