scholarly journals Management of unstable Dorsal fracture - dislocation of the proximal interphalangeal joint by volar plate fixation with or without Bone graft

2020 ◽  
Vol 08 (06) ◽  
Author(s):  
Dr Rajeev Kumar Rajak ◽  
Keyword(s):  
Bone Graft ◽  
Plate Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plate ◽  
Fracture Dislocation ◽  
Volar Plate Fixation ◽  
Without Bone Graft

Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint: Volar Plate Fixation with or without Bone Graft

2019 ◽  
Vol 24 (01) ◽  
pp. 50-54 ◽  
Author(s):  
Chris Milner ◽  
Deepak Samson ◽  
Simon Tan
Keyword(s):  
Bone Grafting ◽  
Plate Fixation ◽  
Full Range ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Hook Plate ◽  
Fracture Dislocation ◽  
Fracture Dislocations ◽  
Average Loss ◽  
Without Bone Graft

Background: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates. Methods: Fourteen patients with extensive dorsal fracture dislocation of the PIPJ were operatively treated to reconstruct the fractured middle phalanx volar lip using a fabricated hook plate in conjunction with elevation and bone grafting of depressed articular fragments where present. Results: Restoration of PIPJ articular anatomy and congruence by hook plate fixation permitted full-range mobilization of the joint during fracture healing, with an average arc of motion of 81° and an average loss of extension of 12.9° at a minimum of 6 months follow up. Hook plate treatment of PIPJ fracture dislocation restores articular anatomy and joint congruence at a single sitting and permits post-operative mobilization without the need for extension block splinting. Conclusions: Our results demonstrate a good range of motion following treatment, however hardware removal and tenolysis was necessary in 36% of cases.

An Unusual Dorsal Fracture–Dislocation of the Proximal Interphalangeal Joint

2007 ◽  
Vol 32 (2) ◽  
pp. 193-194 ◽  
Author(s):  
K. OTANI ◽  
K. FUKUDA ◽  
C. HAMANISHI
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plate ◽  
Fracture Dislocation ◽  
Unusual Variant ◽  
Full Flexion

A case of dorsal fracture–dislocation of the proximal interphalangeal joint in which the volar plate had been pulled from its distal attachment without bony or cartilaginous attachments and the lip of the volar plate had also been detached separately and was obstructing full flexion of the joint is presented. A tentative mechanism of causation of this unusual variant of a common injury is suggested.

scholarly journals Treatment for Acute Proximal Interphalangeal Joint Fractures and Fracture-Dislocations: A Systematic Review of the Literature

2020 ◽  
Vol 12 (S 01) ◽  
pp. S9-S15
Author(s):  
Arianna Gianakos ◽  
John Yingling ◽  
Christian M. Athens ◽  
Andrew E. Barra ◽  
John T. Capo
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plate ◽  
Fracture Dislocation ◽  
Cochrane Library ◽  
Complication Rates ◽  
Recurrent Pain ◽  
Severity Of Injury ◽  
Fracture Dislocations

AbstractProximal interphalangeal joint (PIPJ) fractures and fracture-dislocations are common hand injuries and recognition of this injury pattern is essential in the management of these fractures. Although a variety of treatment options have been reported in the literature, the optimal treatment remains controversial. MEDLINE, EMBASE, and The Cochrane Library Database were screened for treatment strategies of PIPJ fracture and fracture-dislocation. Demographic data and outcome data were collected and recorded. A total of 37 studies including 471 patients and 480 fingers were reviewed. PIPJ range of motion (ROM) was greatest postoperatively in patients who underwent volar plate arthroplasty at 90.6 degrees. Dynamic external fixation resulted in the lowest PIP joint ROM with an average of 79.7 degrees. Recurrent pain and osteoarthritis were most often reported in extension block pinning at 38.5 and 46.2%, respectively. Open reduction and internal fixation had the highest rate of revision at 19.7%. Overall, the outcomes of PIP fractures and fracture-dislocations are based on the severity of injury, and the necessary treatment required. Closed reduction with percutaneous pinning and volar plate arthroplasty had good clinical and functional outcomes, with the lowest complication rates. Hemi-hamate arthroplasty and dynamic external fixation were utilized in more complex injuries and resulted in the lowest PIPJ ROM. This is a therapeutic, Level III study.

Sign in / Sign up

Export Citation Format

Share Document