Use of Dynamic Distraction External Fixation for Unstable Fracture-Dislocations of the Proximal Interphalangeal Joint

2009 ◽  
Vol 2009 ◽  
pp. 186-187
Author(s):  
D.S. Zelouf
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Unstable Fracture ◽  
Fracture Dislocations

Volar plating versus external fixation for unstable dorsal fracture-dislocations of the proximal interphalangeal joint

2021 ◽  
pp. 175319342110593
Author(s):  
Atsuhiko Murayama ◽  
Kentaro Watanabe ◽  
Hideyuki Ota ◽  
Shigeru Kurimoto ◽  
Hitoshi Hirata
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plating ◽  
Distal Interphalangeal Joint ◽  
Active Flexion ◽  
Plate Group ◽  
Fracture Dislocations ◽  
Distal Interphalangeal

We retrospectively compared the results of volar plating and dynamic external fixation for acute unstable dorsal fracture-dislocations of the proximal interphalangeal joint with a depressed fragment. We treated 31 patients (31 fingers), 12 with volar buttress plating and 19 with dynamic external fixation. Follow-up averaged 35 and 40 months in the two groups, with a minimal 6-month follow-up. Average active flexion of the proximal interphalangeal joint was 95° after plate fixation and 87° after external fixation, with an active extension lag of –6° and –9°, respectively. Active flexion at the distal interphalangeal joint averaged 67° in the plate group and 58° in the external fixation group, with active extension lags of 0° and –5°, respectively. We conclude that both methods can obtain a good range of motion at the proximal interphalangeal joint. A limitation of the extension of the distal interphalangeal joint occurred with dynamic external fixation but not with volar buttress plating. Level of evidence: IV

Internal Fixation of Unstable Fracture Dislocations of the Proximal Interphalangeal Joint

2005 ◽  
Vol 30 (5) ◽  
pp. 492-498 ◽  
Author(s):  
I. GRANT ◽  
A. C. BERGER ◽  
S. K. Y. THAM
Keyword(s):  
Range Of Motion ◽  
Early Mobilization ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Unstable Fracture ◽  
Group Operation ◽  
Chronic Group ◽  
Acute Group ◽  
Palmar Plate ◽  
Fracture Dislocations

We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the palmar plate to the base of the middle phalanx. Three years after surgery, (range 25–52 months) the average total active range of motion of the proximal interphalangeal joint was 100° (range 65–115°) for the acute group (operation within 14 days of injury, n = 7) and 86° (range 60–110°) for the chronic group (operation on average 46 days after injury, range 21–120 days, n = 7). Longer delay from injury was associated with a decreased total range of motion ( P = 0.028). Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.

Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations

2005 ◽  
Vol 30 (1) ◽  
pp. 154-160 ◽  
Author(s):  
Alejandro Badia ◽  
Felix Riano ◽  
Jessica Ravikoff ◽  
Roger Khouri ◽  
Eduardo Gonzalez-Hernandez ◽  
...  
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Joint Fracture ◽  
Fracture Dislocations

SURGICAL TREATMENT OF SEVERE FRACTURE DISLOCATIONS OF THE PROXIMAL INTERPHALANGEAL JOINT

Hand Surgery ◽  
1996 ◽  
Vol 01 (01) ◽  
pp. 31-35 ◽  
Author(s):  
Ueli Büchler
Keyword(s):  
Surgical Treatment ◽  
Internal Fixation ◽  
External Fixation ◽  
Bone Grafting ◽  
Open Reduction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocations ◽  
Impacted Fracture ◽  
Severe Fracture

A method is presented for open reduction, bone grafting, minimal internal fixation and ancillary dynamic external fixation of unstable impacted fracture-dislocations of the proximal interphalangeal joint of the finger involving more than 40% of the surface of the joint plateau.

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