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.

Results of Treatment of Chronic Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joints of the Fingers

1998 ◽  
Vol 23 (6) ◽  
pp. 798-801 ◽  
Author(s):  
O. ISHIDA ◽  
Y. IKUTA
Keyword(s):  
Articular Cartilage ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Results Of Treatment ◽  
Palmar Plate ◽  
Fracture Dislocations

We reviewed 20 cases of chronic dorsal fracture-dislocation of the proximal interphalangeal joint, with a mean follow-up period of 74 months. In patients without comminuted palmar fragments, open reduction and internal fixation or osteotomy of the malunited fragment provided good results. In treating patients with damaged articular cartilage or with comminuted palmar fragments by palmar plate arthroplasty, poor results were obtained because of secondary osteoarthritic changes.

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

The hemi-hamate autograft arthroplasty in proximal interphalangeal joint reconstruction: a systematic review

2014 ◽  
Vol 40 (1) ◽  
pp. 24-32 ◽  
Author(s):  
F. S. Frueh ◽  
M. Calcagni ◽  
N. Lindenblatt
Keyword(s):  
Systematic Review ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Joint Involvement ◽  
Level Of Evidence ◽  
Systematic Analysis ◽  
Joint Fracture ◽  
Fracture Dislocations

Palmar lip injuries of the proximal interphalangeal joint with dorsal fracture-dislocation are difficult to treat and often require major reconstruction. A systematic review was performed and yielded 177 articles. Thirteen articles on hemi-hamate autograft were included in full-text analysis. Results of 71 cases were summarized. Mean follow-up was 36 months and mean proximal interphalangeal joint range of motion was 77°. Overall complication rate was around 35%. Up to 50% of the patients showed radiographic signs of osteoarthritis. However, few of those patients complained about pain or impaired finger motion. Based on this systematic analysis and review, hemi-hamate autograft can be considered reliable for the reconstruction of acute and chronic proximal interphalangeal joint fracture-dislocations with joint involvement >50%, but longer-term follow-up studies are required to evaluate its outcome, especially regarding the rate of osteoarthritis. Level of Evidence: II

A new technique for closed management of displaced intra-articular fractures of metacarpal and phalangeal head delayed on presentation: report of eight cases

2013 ◽  
Vol 39 (3) ◽  
pp. 232-236 ◽  
Author(s):  
S. Houshian ◽  
S. S. Jing
Keyword(s):  
Minimally Invasive ◽  
External Fixator ◽  
New Technique ◽  
Anatomical Reduction ◽  
Articular Fractures ◽  
Initial Injury ◽  
A New Technique ◽  
Time Of Operation

We present the outcomes of the delayed management of eight displaced intra-articular fractures of the metacarpal and phalangeal heads treated with capsuloligamentotaxis using the Penning mini-external fixator. Closed anatomical reduction with a 2 mm over-distraction was achieved at the time of operation at an average of 20 days after the initial injury. Excellent outcomes in terms of function and pain were obtained at 6 month’s follow-up in all cases. This technique is simple, minimally invasive, and effective, with minimal complications.

Delayed treatment of unstable proximal interphalangeal joint fracture-dislocations with a dynamic external fixator

Injury ◽  
2015 ◽  
Vol 46 (10) ◽  
pp. 1938-1944 ◽  
Author(s):  
Xiao Fang Shen ◽  
Jing Yi Mi ◽  
Yong Jun Rui ◽  
Ming Yu Xue ◽  
Jiandong Chou ◽  
...  
Keyword(s):  
External Fixator ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Delayed Treatment ◽  
Joint Fracture ◽  
Fracture Dislocations

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.

The Treatment of Dorsal Fracture-Dislocation of the Proximal Interphalangeal Joint by Closed Reduction and Kirschner Wire Fixation: A 16-Year Follow Up

2001 ◽  
Vol 26 (6) ◽  
pp. 537-540 ◽  
Author(s):  
D. P. NEWINGTON ◽  
T. R. C. DAVIS ◽  
N. J. BARTON
Keyword(s):  
Closed Reduction ◽  
Articular Surface ◽  
Kirschner Wire ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Long Term Results ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Ten patients who had sustained 11 unstable dorsal fracture-dislocations of finger proximal interphalangeal joints were reviewed at a mean follow-up of 16 years. All had been treated acutely by closed reduction and transarticular Kirschner wire fixation of the proximal interphalangeal joint, without any attempt at reduction of the fracture of the base of the middle phalanx, which probably involved 30–60% of the articular surface. Seven of the ten patients complained of no finger pain or stiffness, and none complained of severe pain. There was a mean fixed flexion deformity of 81 at the proximal interphalangeal joint, which had a mean arc of movement of 851. Although subchondral sclerosis and mild joint space narrowing were observed in some instances, there were no severe degenerative changes. These results confirm that this technique is a reliable treatment method for these injuries, and produces satisfactory long-term results.

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.

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