Modified “On-Top-Plasty” Technique for Restoring Length to Amputation Stumps

2002 ◽  
Vol 27 (3) ◽  
pp. 265-269 ◽  
Author(s):  
V. PISTRE ◽  
P. PELISSIER ◽  
A. BALLANGER ◽  
D. MARTIN ◽  
J. BAUDET
Keyword(s):  
Proximal Phalanx ◽  
Ring Finger ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Secondary Procedure ◽  
Amputation Stumps ◽  
Amputation Stump ◽  
Middle Ring

Five patients were successfully treated with a modified “on-top-plasty” technique, in which a finger stump is lengthened by transfer of an adjacent amputation stump with a reverse blood flow fingerstump. This technique can be performed in the acute phase or as a secondary procedure. A conventional on-top-plasty can be performed by transfer of a partially amputated index or ring finger to the “top” of the proximal phalanx of an amputated middle finger. Alternatively, the transferred part may be used in an intercalated fashion to reconstruct the middle phalanx, using a prosthesis to reconstruct the proximal interphalangeal joint. The results, complications and disadvantages of the technique are reported. We propose this procedure for the reconstruction of the middle ring finger when a free microneurovascular toe-to-hand transfer is contraindicated or refused by the patient.

Morphology of the proximal and middle phalanx of fingers with regard to the Ascension PyroCarbon PIP total joint

2014 ◽  
Vol 39 (6) ◽  
pp. 596-603 ◽  
Author(s):  
C. Ries ◽  
W. Zhang ◽  
K. J. Burkhart ◽  
W. F. Neiss ◽  
L. P. Müller ◽  
...  
Keyword(s):  
Potential Risk ◽  
Proximal Phalanx ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Critical Examination ◽  
Middle Phalanx ◽  
Bone Morphology ◽  
Component Size ◽  
Base Insertion

The Ascension PyroCarbon prosthesis has been used in proximal interphalangeal joint osteoarthritis. The dimensions of the intramedullary distal metadiaphyseal canal (isthmus) of the proximal phalanx and the base of the middle phalanx of cadaver fingers were investigated radiographically ( n = 304) and macroscopically ( n = 152). In up to 30% of the phalanges, the isthmus was smaller than the stem of the smallest proximal component size. The distal component head was always smaller than the middle phalanx base. Insertion and success of the Ascension PyroCarbon prosthesis is strongly dependent on bone morphology. A critical examination of the isthmus in radiographs is recommended in planning. If the isthmus is clearly smaller than the smallest proximal component, insertion of the prosthesis could be inadvisable. A clear mismatch between the distal component and the middle phalanx base should be avoided due to the potential risk for late subsidence and failure of the prosthesis.

IRREDUCIBLE OPEN DORSAL DISLOCATION OF THE PROXIMAL INTERPHALANGEAL JOINT: A CASE REPORT

Hand Surgery ◽  
2010 ◽  
Vol 15 (01) ◽  
pp. 61-64 ◽  
Author(s):  
Shizuka Muraoka ◽  
Yukihiro Furue ◽  
Mahito Kawashima
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Relevant Literature ◽  
Proximal Phalanx ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plate ◽  
Normal Position ◽  
Flexor Tendons

We report a rare case of open dorsal dislocation of the proximal interphalangeal joint which needed operative reduction. A 39-year-old man injured his right middle finger while playing baseball. There was a laceration on the proximal interphalangeal crease, and the condyles of the proximal phalanx protruded through the wound. The flexor tendons had slipped behind the radial condyle, and made reduction impossible. After the flexor tendons and volar plate were replaced back into their normal position, the reduction was successful. Finally, the patient had full and painless motion of the digit. We review the reported cases of this injury in the relevant literature.

SIMULTANEOUS DORSAL DISLOCATION OF THE INTERPHALANGEAL JOINTS IN RING FINGER WITH PROXIMAL INTERPHALANGEAL JOINT DISLOCATION OF THE MIDDLE FINGER: CASE REPORT AND REVIEW OF THE LITERATURE

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 271-274 ◽  
Author(s):  
S. Shyamsundar ◽  
W. MacSween
Keyword(s):  
Ring Finger ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Early Mobilisation ◽  
Review Of The Literature ◽  
Joint Dislocation ◽  
Initial Injury ◽  
Excellent Functional Outcome ◽  
Distal Interphalangeal

A 30-year-old amateur goalkeeper sustained simultaneous dislocation of the proximal and distal interphalangeal joints of the ring finger and of the proximal interphalangeal joint of the middle finger following a hyperextension injury. This was reduced under a local anaesthetic. Neighbour finger strapping and early mobilisation achieved an excellent functional outcome when reviewed at eight weeks after the initial injury.

Morphological Measurements of the Proximal Interphalangeal Joint

2004 ◽  
Vol 29 (3) ◽  
pp. 242-247 ◽  
Author(s):  
T. LAWRENCE ◽  
I. A. TRAIL ◽  
J. NOBLE
Keyword(s):  
Articular Surface ◽  
Proximal Phalanx ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Implant Design ◽  
Radius Of Curvature ◽  
Middle Phalanx ◽  
Photographic Technique ◽  
Articular Surfaces ◽  
Palmar Surface

The morphology of the proximal interphalangeal joint was determined using a photographic technique. The head of the proximal phalanx, viewed end on, has a complex trapezoid appearance characteristic for each named digit. The asymmetric condyles diverge from one another and are separated by an intercondylar groove that increases in depth from the dorsal to the palmar surface. Saggital sections of the head of the proximal phalanx are not circular, but, sections taken in the plane of maximum dimensions of the condyle are circular with a radius of curvature of approximately one half of the height of the condyles. The articular surface of the base of the middle phalanx is not circular in outline in either the saggital or coronal plane. In coronal sections the articular surface is biconcave convex with a prominent median ridge separating the two adjacent concave articular surfaces. The implications of this varied morphology on implant design are discussed.

A novel technique for proximal interphalangeal joint fracture-dislocations: the second toe middle phalanx osteochondral graft

2021 ◽  
pp. 175319342110292
Author(s):  
Danielle Nizzero ◽  
Nicholas Tang ◽  
James Leong
Keyword(s):  
Range Of Motion ◽  
Surgical Techniques ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Joint Fracture ◽  
Acute Injuries ◽  
Fracture Dislocations ◽  
Chronic Injuries ◽  
Second Toe

Many different surgical techniques have been used to treat unstable dorsal proximal interphalangeal joint fracture-dislocations. The authors have used the base of the middle phalanx of the second toe base as an alternative autograft to treat this type of injury. This retrospective study assessed the clinical outcomes of this procedure in 11 patients. Range of motion, grip strength, Disability of the Arm, Shoulder and Hand score and donor site morbidity were assessed at regular intervals postoperatively. Nine patients had acute injuries and two had chronic injuries. The mean range of motion in the proximal interphalangeal joint at final review was 65° for patients with acute injuries and 41° for patients with chronic injuries. Other outcomes were satisfactory and there were no complications. Level of evidence: IV

scholarly journals Plant Thorn Synovitis of the Hand in an Adult Patient: A Case Report and Review of the Current Literature

2019 ◽  
Vol 5 ◽  
pp. 2513826X1987650
Author(s):  
Sarah L. Zhu ◽  
Cameron F. Leveille ◽  
Emily E. Dunn ◽  
Michael J. Cooper
Keyword(s):  
Case Report ◽  
Current Literature ◽  
Foreign Bodies ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
The Past ◽  
Left Middle ◽  
Exploratory Surgery ◽  
Plum Tree

This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. The patient initially presented with persistent joint discomfort following removal of a retained plum thorn fragment from the skin overlyin the proximal interphalangeal joint of the left middle finger. Initial radiography and sonography imaging following the removal revealed no foreign bodies. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. An exploratory surgery was carried out, which revealed multiple plant thorn fragments within the synovium, each measuring approximately 1 mm in size. A synovectomy was performed and the patient recovered with full function. Our case of plant thorn synovitis is discussed along with a review of the current literature on plant thorn synovitis in the hands.

scholarly journals Minimally invasive management of dorsiflexion contracture at the metatarsophalangeal joint and plantarflexion contracture at the proximal interphalangeal joint of the fifth toe

2011 ◽  
Vol 1 (2) ◽  
pp. 27
Author(s):  
Mariano De Prado ◽  
Pedro-Luis Ripoll ◽  
Pau Golanó ◽  
Javier Vaquero ◽  
Nicola Maffulli
Keyword(s):  
Minimally Invasive ◽  
Proximal Phalanx ◽  
Metatarsophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Invasive Technique ◽  
Wedge Osteotomy ◽  
Invasive Approach ◽  
Fifth Toe ◽  
Toe Deformity

Several surgical options have been described to manage persistent dorsiflexion contracture at the metatarsophalangeal joint and plantarflexion contracture at the proximal interphalangeal joint of the fifth toe. We describe a minimally invasive technique for the management of this deformity. We perform a plantar closing wedge osteotomy of the 5th toe at the base of its proximal phalanx associated with a lateral condylectomy of the head of the proximal phalanx and at the base of the middle phalanx. Lastly, a complete tenotomy of the deep and superficial flexor tendons and of the tendon of the extensor digitorum longus is undertaken. Correction of cock-up fifth toe deformity is achieved using a minimally invasive approach.

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%.

Sign in / Sign up

Export Citation Format

Share Document