Interphalangeal joint traumaMini-Screw Fixation for the Treatment of Proximal Interphalangeal Joint Dorsal Fracture–Dislocations
Section snippets
Materials and Methods
Retrospective chart reviews and clinical follow-up evaluations were performed on patients having ORIF with mini-fragment screws for unstable volar lip fractures of the PIP joint of the hand at a hand surgery center from December 1998 to April 2004. Patients were identified as candidates for the study by using diagnosis codes from billing records, and all patients with fractures involving the interphalangeal joints were reviewed. One hundred thirty-one patients were identified who had ORIF
Results
At an average of 42 months after surgery (range, 6–66 mo), the average metacarpophalangeal joint arc of motion was 89° for the involved side (range, 75°–90°) and 87° for the contralateral side (range, 70°–95°) (Table 2). The average arc of motion of the affected PIP joints was 70° (range, 55°–90°) and of the contralateral PIP joints was 91° (range, 85°–95°). The involved PIP joints had an average flexion contracture of 14° (range, 0°–30°). The average arc of motion of the distal interphalangeal
Discussion
The goals of treatment of unstable PIP joint dorsal fracture–dislocations include re-establishing articular congruity and providing a stable and concentric joint, thereby permitting early ROM to minimize the risks of joint stiffness or contracture.1 A variety of treatment options for fracture–dislocations of the PIP joint have been presented in the literature, including traction,4, 5, 6 external fixation,7, 8, 9, 10, 11 volar plate arthroplasty,12 hemihamate autograft,3 and ORIF.13, 14, 15, 16,
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Cited by (84)
Proximal Interphalangeal Joint Fractures: Various Approaches to Fixation
2023, Hand ClinicsHemi-hamate arthroplasty for the management of chronic proximal interphalangeal joint fracture dislocations: Analysis of 21 cases in Indian population and review of the literature
2023, Journal of Clinical Orthopaedics and TraumaEmergency metacarpophalangeal arthroplasty with bone grafting for traumatic joint destruction: a report on two cases
2021, Hand Surgery and RehabilitationCitation Excerpt :The bone graft had started to integrate between the 2nd and 3rd months and was fully integrated at 6 months (Fig. 3). There are only a few published reports of surgical management for traumatic MCP joint destruction [1–4], contrary to the proximal interphalangeal joint, which is more likely to be severely damaged [5–9]. The options described in these published studies must be evaluated relative to the local conditions and the patient's background.
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2020, Clinics in Sports MedicineInjuries Around the Proximal Interphalangeal Joint
2019, Clinics in Plastic SurgeryCitation Excerpt :Various methods of internal fixation have been described—dorsal and volar plating,53,54 buttress plating,40 hook plating,55 and screw fixation from volar19,51,56 and dorsal57 approaches, After internal fixation, splint immobilization, extension block pinning, or an external fixator may be used to augment the fixation.40 Techniques for fixation of small fragments include K wires,20,22,58,59 miniscrews,56,60,61 pull-out sutures with tension banding,3,17 and a combination of these techniques (Fig. 3). The volar approach to the PIPJ commonly is used (Video 1).62
Fracture-dislocation of the proximal interphalangeal joint of the long fingers: Report of an unusual case requiring open surgery
2018, Hand Surgery and Rehabilitation
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