Small joint arthrodesis.

Arthrodesis of the joints of the digital skeleton may be readily accomplished by using small external fixators. Although it is effective for almost any indication, it is perhaps best used for open injury, infection, and other difficult circumstances when different methods of compression arthrodesis are inadvisable. Fusion rates are very high, with successful first-attempt external fixation arthrodesis occurring in at least 96% of cases as reported in prior publications. Length of immobilization varied from 6 to 8 weeks with an acrylic and K-wire compression device to 8 to 10 weeks with a Manuflex device. Other reports demonstrate similar results.