TechniquesA New Proximal Dorsal Approach for DIP ArthroplastyBesmens, Inga S. MD*; Giesen, Thomas MD†; Guidi, Marco MD*; Calcagni, Maurizio MD*Author Information *Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich †Centro Manoegomito, Clinica Ars—Medica, Gravesano, Switzerland Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Inga S. Besmens, MD, Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, Zurich 8091, Switzerland. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: December 2020 - Volume 24 - Issue 4 - p 152-154 doi: 10.1097/BTH.0000000000000293 Buy Metrics Abstract Degenerative changes of the distal interphalangeal (DIP) joints can be painful, disabling, and disfiguring. Swanson spacers can be used for DIP arthroplasty. The standard approach for Swanson spacer implantation at the DIP joint involves transecting the extensor tendon close to its insertion, which necessitates a 6-week period of postoperative immobilization. Another DIP approach involves sparing the extensor tendons, as already published. Both techniques lead to a similar range of motion of the replaced DIP joints. We present a novel approach for DIP joint arthroplasty with division of the extensor tendon in zone 2 with only 2 weeks of postoperative immobilization. Optimizing the motion-preserving operative approaches is of value to our high-demand patients. Postoperative results do not differ from the postoperative range of motion published in the literature for both tendon-sparing and standard approaches. But our approach is technically easy and requires a significantly shorter time of immobilization. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.