![]() ![]() Use of dynamic distraction external fixation for unstable fracture-dislocations of the proximal interphalangeal joint. Ruland RT, Hogan CJ, Cannon DL, et al.Treatment of proximal interphalangeal dorsal fracture-dislocation injuries with dynamic external fixation: a pins and rubber band system. External fixation of proximal interphalangeal joint fracture-dislocations. Unstable fracture- dislocations of the proximal interphalangeal joint of the fingers: a preliminary report of a new treatment technique. Dynamic digital traction for unstable comminuted intra-articular fracture-dislocations of the proximal interphalangeal joint. Dynamic traction and early passive movement for fractures of the proximal interphalangeal joint. Extension block pinning for proximal interphalangeal joint fracture-dislocations: a preliminary report of a new technique. Management of fracture- dislocations of the proximal interphalangeal joints by extension block splinting. Mc Elfresh BC, Dobyns JH, O' Brien BT.Jaypee Brothers Medical Publishers (P) Ltd. Surgery of the injured hand–Towards functional restoration. Proximal interphalangeal joint fracture dislocations. Early mobilization of joint facilitates remodeling of the articular base of the middle phalanx with the recovery of painless motion at the PIP joint despite radiological abnormalities. All patients went back to previous work.Ĭonclusion: Static traction technique with early mobilization protocol is a safe, relatively simple, and effective technique in the management of intra-articular fractures of the PIP joint. Despite suboptimal radiographs, patients had a functional, painless range of motion. In unstable injuries, suboptimal alignment of fracture was common. Two patients reported mild pain on terminal flexion without functional limitations. The average active flexion possible at the injured joint was 87.7°(range 55–110°). The median period of follow-up was 15 months (range 7.5–31 months). Results: There were 11 cases of intra-articular fractures of the middle phalanx base. Patients were evaluated for the range of motion achieved, radiograph picture, presence of pain, and ability to return to work. ![]() At 2 weeks, active-assisted mobilization of the injured finger is begun. 1 polypropylene suture through nail plate of injured finger applies traction to hold joint in reduced position for 2 weeks. Materials and methods: We utilize a malleable aluminum splint for traction against the injured finger. In this study, we present results obtained with this modality. We utilize a simple technique consisting of a static traction assembly and early mobilization of the finger to treat this pathology. ![]() There are multiple techniques described for treatment. Aim and background: Intra-articular fractures of the proximal interphalangeal (PIP) joint are a difficult entity to treat, commonly leading to stiff and painful fingers. ![]()
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