Fifty-one Herbert-screw fixation procedures were performed for interph
alangeal fusion in the hand. The preoperative diagnoses included rheum
atoid arthritis, degenerative arthritis, posttraumatic arthritis, and
chronic mallet finger. All patients were observed until there was clin
ical and radiographic evidence of union. Solid osseous union occurred
in all patients. Herbert screw fixation for interphalangeal arthrodesi
s was a simple, effective technique permitting early mobilization; com
plications were minimal.