Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials

Lee, Jae Jun; Park, Hyoung Joon; Choi, Hyun Gon; Shin, Dong Hyeok; Uhm, Ki Il

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자료유형: 학술저널

저자정보: Lee, Jae Jun (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine) Park, Hyoung Joon (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine) Choi, Hyun Gon (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine) Shin, Dong Hyeok (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine) Uhm, Ki Il (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제4호

발행연도: 2013.1

수록면: 397 - 402 (6page)

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Background Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair. Methods We treated nine patients with fracture-dislocation of the PIP joint with small fractured bone fragments too small for pinning or screw fixation. Patients with volar plate injury were treated with open reduction and volar plate repair at the periosteum of the middle phalangeal bone base by the modified Kessler method using absorbable sutures. All patients were placed in a dorsal aluminum extension block splint, which maintained the PIP joint in approximately 30 degrees of flexion to avoid excessive tension on the sutured volar plate. Results At a mean final follow-up of postoperative 9 months, all patients were evaluated radiographically and had adequate alignment of the PIP joint and reduction of the displaced bone fragments. Range of motion was improved and there were no complications. Conclusions This technique is an excellent alternative to the current method of treating patients with fracture-dislocations that include small fragments that are too small for pinning or screw fixation. It is a less invasive surgical method and enables stable reduction and early exercise without noticeable complications.

#Finger joint #Intra-articular fractures #Volar plate #Sutures

참고문헌 (22)

참고문헌 신청

Ng CY / 2009 / Fractures of the proximal interphalangeal joints of the fingers / J Bone Joint Surg Br 91:705~712

Bowers WH / 1980 / The proximal interphalangeal joint volar plate. I. An anatomical and biomechanical study / J Hand Surg Am 5:79~88

Bowers WH / 1981 / The proximal interphalangeal joint volar plate. II: a clinical study of hyperextension injury / J Hand Surg Am 6:77~81

O’Rourke SK / 1989 / Long-term outcome of articular fractures of the phalanges: an eleven year follow up / J Hand Surg Br 14:183~193

McElfresh EC / 1972 / Management of fracture-dislocation of the proximal interphalangeal joints by extension-block splinting / J Bone Joint Surg Am 54:1705~1711