Dynamic External Fixator for Pilon Fractures of the Proximal Interphalangeal Joints: A Simple Fixator for A Complex Fracture

2003 ◽  
Vol 28 (2) ◽  
pp. 137-141 ◽  
Author(s):  
A. A. SYED ◽  
M. AGARWAL ◽  
R. BOOME
Keyword(s):  
Patient Satisfaction ◽  
Range Of Motion ◽  
External Fixator ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
High Patient Satisfaction ◽  
Complex Fracture ◽  
Effective Dynamic ◽  
Pilon Fractures

We describe a very cheap, simple and effective dynamic external fixator for treatment of pilon fractures of the proximal interphalangeal joint. At final follow-up, nine such fractures had regained an average range of motion of 79° (range, 65–90°). There was high patient satisfaction and there were no serious complications.

scholarly journals Surface Replacement Proximal Interphalangeal Joint Arthroplasty: A Case Series

Hand ◽  
2018 ◽  
Vol 14 (5) ◽  
pp. 669-674
Author(s):  
Pieter W. Jordaan ◽  
Duncan McGuire ◽  
Michael W. Solomons
Keyword(s):  
Patient Satisfaction ◽  
Range Of Motion ◽  
Retrospective Review ◽  
Case Series ◽  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Interphalangeal Joint ◽  
Surface Replacement ◽  
Significant Difference

Background: In 2012, our unit published our experience with a pyrocarbon proximal interphalangeal joint (PIPJ) implant. Due to high subsidence rates, a decision was made to change to a cemented surface replacement proximal interphalangeal joint (SR-PIPJ) implant. The purpose of this study was to assess whether the change to a cemented implant would improve the subsidence rates. Methods: Retrospective review of all patients who had a cemented SR-PIPJ arthroplasty performed from 2011 to 2013 with at least 12 months follow-up. Results: A total of 43 joints were included with an average follow-up of 26.5 months. There was a significant ( P = .02) improvement in arc of motion with an average satisfaction score of 3.3 (satisfied patient). Subsidence was noted in 26% of joints with a significant difference in range of motion ( P = .003) and patient satisfaction ( P = .001) between the group with and without subsidence. Conclusions: The change to a cemented implant resulted in satisfied patients with an improvement in range of motion. The rate of subsidence improved but remains unacceptably high.

Volar Plate Arthroplasty for Closed Proximal Interphalangeal Joint Injuries

1992 ◽  
Vol 17 (4) ◽  
pp. 422-428 ◽  
Author(s):  
G. DURHAM-SMITH ◽  
G. M. MCCARTEN
Keyword(s):  
Patient Satisfaction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plate ◽  
Middle Phalanx ◽  
Satisfaction Rate ◽  
Joint Injuries ◽  
Original Procedure ◽  
Patient Satisfaction Rate

The anatomy and histology of the volar plate at the proximal interphalangeal joint and the mechanism of fracture/subluxation of the base of the middle phalanx in closed proximal interphalangeal joint injuries is reviewed. Our current technique of repair for these injuries and its evolution from Eaton’s original procedure is described. The results of 71 cases of volar plate arthroplasty performed over a five-year period for fracture/subluxations of the proximal interphalangeal joints are presented with follow-up ranging from six months to four years. 62 (87%) patients achieved a stable pain-free joint with a range of motion from 5° to 95° within two months. Complications were uncommon and correctable with an overall eventual patient satisfaction rate of 94%.

Treatment of unstable proximal interphalangeal joint fractures with hemi-hamate osteochondral autografts

2016 ◽  
Vol 42 (2) ◽  
pp. 188-193 ◽  
Author(s):  
M. Burnier ◽  
T. Awada ◽  
F. Marin Braun ◽  
P. Rostoucher ◽  
M. Ninou ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Articular Surface ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Pinch Strength ◽  
Middle Phalanx ◽  
Level Of Evidence ◽  
Active Flexion ◽  
The Mean

The primary aim of this study was to assess the clinical and radiological results after hemi-hamate resurfacing arthroplasty in patients with acute or chronic unstable fractures of the base of the middle phalanx and to describe technical features that can facilitate the surgical procedure. Hemi-hamate arthroplasties were done in 19 patients (mean age 39 years) with an isolated fracture at the base of the middle phalanx that involved more than 40% of the articular surface. We assessed ten chronic cases (treated >6 weeks after fracture) and nine acute ones (<6 weeks) at a mean of 24 months. Pain scores, QuickDASH scores, grip strengths, range of motion and radiological findings were recorded at follow-up. At follow-up, the mean active flexion at the proximal interphalangeal joint was to 83° with a mean fixed flexion of 17° (active range of motion 66°). The mean active distal interphalangeal motion was 41°. The mean visual analogue scale score was 1.1. The mean QuickDASH score was 11. The mean pinch strength was 82% of the opposite side. Radiographs revealed one partial graft lysis. Level of evidence: IV

MatOrtho proximal interphalangeal joint arthroplasty: minimum 2-year follow-up

2016 ◽  
Vol 41 (9) ◽  
pp. 910-916 ◽  
Author(s):  
O. Flannery ◽  
O. Harley ◽  
R. Badge ◽  
A. Birch ◽  
D. Nuttall ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Interphalangeal Joint ◽  
Cobalt Chromium ◽  
Retrospective Case ◽  
Replacement Arthroplasty ◽  
Functional Scores ◽  
The Mean

The MatOrtho proximal interphalangeal replacement is a cementless cobalt–chromium metal-on-polyethylene mobile-bearing surface replacement arthroplasty. The aim of this study is to report the outcome and complications of this implant at a minimum of 2 years follow-up from a single institution. A retrospective case review was performed on all MatOrtho proximal interphalangeal joint replacements performed with a minimum of 2 years follow-up. Patient demographics, diagnosis, implant revision and other surgical interventions were recorded. Subjective and objective outcomes were evaluated at latest follow-up, including pain scores, range of motion, function and radiographic assessment. A total of 109 implants were inserted in 56 patients. Nine implants (six patients) were lost to follow-up. Of the remaining 100 implants, 75 had been undertaken in females. The mean age at time of surgery was 64 years and the principal diagnosis was osteoarthritis in 74%. The mean follow-up was 47 months (range 24–77). Within the group there was a statistically significant diminution in pain. There was also an improvement in functional scores post-operatively. Improvement in range of motion was seen in those joints with a pre-operative range of motion greater than 20°. Radiologically there was no evidence of loosening or of implant subsidence at final follow-up. The revision rate was 13%. Nine joints were revised to the NeuFlex (silicone rubber) prosthesis, three were converted to an arthrodesis and one had exchange of the MatOrtho prosthesis. The survival of the MatOrtho proximal interphalangeal joint arthroplasty was 85% at a minimum of 2-years follow-up. Patients can be advised that the procedure achieves good pain relief, improvement in functional scores and may improve range of motion. We would, however, caution against this implant’s use in joints that are either stiff or have significant deformity and/or instability pre-operatively.

Single-Stage Distraction Correction for Neglected Dorsal Fracture Dislocations of the Proximal Interphalangeal Joint: A Report of Eight Cases

2008 ◽  
Vol 33 (3) ◽  
pp. 345-349 ◽  
Author(s):  
S. HOUSHIAN ◽  
A. GHANI ◽  
C. CHIKKAMUNIYAPPA ◽  
S. A. SAKKA
Keyword(s):  
Minimally Invasive ◽  
External Fixator ◽  
Closed Reduction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Single Stage ◽  
Correction Technique ◽  
Fracture Dislocations ◽  
Time Of Operation

We present the outcome of treatment of eight chronic neglected dorsal fracture dislocations of the proximal interphalangeal joint treated with a single-stage ligamentous distraction using the Penning mini-external fixator and a closed reduction. The distraction correction and 2 to 3 mm over distraction was performed acutely at the time of operation in all eight cases at an average injury-to-surgery time of 6 weeks. Satisfactory results with an average range of motion of 79° were obtained at an average follow-up of 20 months. This technique is simple, effective and offers the advantage of being minimally invasive. We recommend this single-stage distraction correction technique for the treatment of chronic neglected dorsal dislocations of the proximal interphalangeal joint, which are no more than 10 weeks-old.

The use of dynamic external fixation in the treatment of dorsal fracture subluxations and pilon fractures of finger proximal interphalangeal joints

2016 ◽  
Vol 42 (2) ◽  
pp. 182-187 ◽  
Author(s):  
M. M. Abou Elatta ◽  
F. Assal ◽  
H. M. Basheer ◽  
A. F. El Morshidy ◽  
S. M. Elglaind ◽  
...  
Keyword(s):  
Early Mobilization ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Joint Motion ◽  
Stable Fixation ◽  
Level Of Evidence ◽  
The Mean ◽  
Finger Motion ◽  
Pilon Fractures

The aim of this study was to review the outcome of the treatment of finger proximal interphalangeal joint dorsal fracture subluxations and pilon fractures with a modified external fixator. We treated 36 patients (36 fingers). We assessed the ranges of motion and patient satisfaction. At final follow-up, 23 patients had no pain; 11 had pain in the cold; and two also had mild pain. None had moderate or severe pain. The mean range of proximal interphalangeal joint motion was 86° (60°–100°). The mean total active range of finger motion was 244° (range 200°–265°). This system is simple, cheap and relatively easily applied. It gives stable fixation that allows early mobilization. Level of evidence: IV

scholarly journals Comparative study of ultrasonography-guided percutaneous A1 pulley release versus blinded percutaneous A1 pulley release

2018 ◽  
Vol 26 (2) ◽  
pp. 230949901877236 ◽  
Author(s):  
Sung Hyun Lee ◽  
Young Chae Choi ◽  
Hong Je Kang
Keyword(s):  
Patient Satisfaction ◽  
Postoperative Pain ◽  
Prospective Study ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Trigger Finger ◽  
Analog Scale ◽  
Vas Score ◽  
A1 Pulley

Purpose: The purpose of this study was to compare the results of blind versus ultrasonography-guided percutaneous A1 pulley release for treatment of trigger finger. Methods: This prospective study included 21 patients (25 fingers) who underwent blind release and 20 patients (23 fingers) who underwent ultrasonography-guided release. The visual analog scale (VAS) score, proximal interphalangeal joint contracture, complications, and patient satisfaction were compared between the groups. Results: At the final follow-up, triggering had disappeared in all patients who underwent ultrasonography-guided release, whereas three patients who underwent blind release required revision surgery for postoperative triggering. No complications were observed. VAS score was significantly different between groups at 2 and 4 weeks postoperatively. All patients who underwent ultrasonography-guided release were satisfied, whereas three patients who underwent blind release were not satisfied. Conclusion: Ultrasonography-guided percutaneous A1 pulley release for treatment of trigger finger reduces postoperative pain and complications, such as incomplete release, compared with a blind procedure.

Chronic Flexion Contracture of Proximal Interphalangeal Joint Treated with the Compass Hinge External Fixator. A Consecutive Series of 27 Cases

2002 ◽  
Vol 27 (4) ◽  
pp. 356-358 ◽  
Author(s):  
S. HOUSHIAN ◽  
B. GYNNING ◽  
H. A. SCHRØDER
Keyword(s):  
External Fixator ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Consecutive Series ◽  
Flexion Extension ◽  
The Mean ◽  
Pin Track ◽  
Mean Time

Twenty-seven chronic flexion contractures of the proximal interphalangeal joint were treated with the Compass® hinge external fixator without open surgery. The fixator was removed after a mean of 33 (range, 14–68) days. The mean time from injury to operation was 4 (range, 1–19) years and all patients were reviewed at a mean follow-up of 21 (range, 12–50) months. The mean extension gain was 38° (range, 0–70°), and the mean flexion–extension arc improved by 42° (range, 0–80°). Complications included superficial pin-track infection in 11 cases and pin loosening in four cases.

Tricorrectional osteotomy for the correction of late-stage hallux limitus/rigidus

1997 ◽  
Vol 87 (9) ◽  
pp. 414-424 ◽  
Author(s):  
AJ Selner ◽  
R Bogdan ◽  
MD Selner ◽  
EK Bunch ◽  
RL Mathews ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Range Of Motion ◽  
X Rays ◽  
High Patient Satisfaction ◽  
Hallux Limitus ◽  
Early Return ◽  
Patient Questionnaires ◽  
Motion Assessment

The authors propose the use of the tricorrectional osteotomy for treatment of severe hallux limitus/rigidus as an alternative to joint-destructive procedures. A study of 19 patients with follow-up treatment ranges of 10 months to 6 years postoperatively was performed. Data were collected on preoperative and long-term postoperative x-rays, range of motion assessment, F-scan studies, and subjective patient questionnaires. High patient satisfaction along with increased range of motion, minimal complications, and an early return to activities make this an ideal procedure for grades II, III, and IV hallux limitus/rigidus.

Surgical Management of Proximal Interphalangeal Joint Fracture-Dislocations: A Review of Outcomes

Hand ◽  
2019 ◽  
pp. 155894471987315 ◽  
Author(s):  
Cory Demino ◽  
Megan Yates ◽  
John R. Fowler
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
External Fixation ◽  
Open Reduction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Percutaneous Fixation ◽  
Surgical Method ◽  
Fracture Dislocations

Background: Treatment of proximal interphalangeal joint (PIPJ) fracture-dislocations is difficult given the potential long-term complications of the involved finger and entire hand. Several surgical methods have been utilized for management of these injuries, none of which have shown consistently favorable results. The purpose of this systematic review of the literature is to report the post-operative outcomes of multiple treatment modalities for PIPJ fracture-dislocations in various studies. Methods: A literature review of PubMed and EMBASE databases was performed for all articles on PIPJ fracture-dislocations. Outcomes of interest included PIPJ range of motion, grip strength (% of contralateral hand), and quick disabilities of arm, shoulder, hand (QuickDASH). Articles were distributed into 5 groups by surgical method: open reduction, percutaneous fixation, dynamic external fixation, extension-block pinning, and hemi-hamate arthroplasty. Results: Forty-eight of 1679 total screened articles were included. The weighted means of post-operative range of motion (ROM; degrees) at final follow-up were open reduction 84.7 (n = 146), percutaneous fixation 86.5 (n = 32), dynamic external fixation 81.7 (n = 389), extension-block pinning 83.6 (n = 85), and hemi-hamate arthroplasty 79.3 (n = 52). Dorsal fracture-dislocations, regardless of surgical method, had an average ROM of 83.2 (n = 321), grip strength 91% (n = 132), and QuickDASH of 6.6 (n = 59) while pilon injuries had an average ROM of 80.2 (n = 48), grip strength 100% (n = 13), and QuickDASH of 11.4 (n = 13). Conclusion: Percutaneous fixation yielded the highest post-operative ROM at final follow-up while extension-block pinning resulted in the greatest grip strength. While dorsal fracture-dislocations produced higher average ROM and lower QuickDASH score, pilon fractures produced a higher grip strength. No treatment method or fracture type yielded consistently better outcomes than another.

Sign in / Sign up

Export Citation Format

Share Document