Chronic Fracture Dislocations of the Proximal Interphalangeal Joint

Abstract

The "S" Quattro has proved its value in the treatment of acute displaced comminuted intraarticular phalangeal fracture dislocations. We have used the system to treat five cases of chronic fracture-dislocation or subluxation of the PIP joint. At an average follow-up period of 16.4 months, there was a mean increase in the range of movement of the injured joint by 75 degrees. We recommend this technique for selected cases.

Treatment of Proximal Interphalangeal Dorsal Fracture-Dislocation Injuries With Dynamic External Fixation: A Pins and Rubber Band System

“…7-9 Unstable patterns require 16 static external fixation, 17 force-couple splints, 18 dynamic external fixation allowing passive ROM, 19 -22 and dynamic external fixation allowing both active and passive ROM. [23][24][25][26][27][28][29][30][31][32] Dynamic external fixators come in many varieties. All systems use pins or wires placed through the center of rotation of the proximal phalangeal head and through various sites in the middle phalanx that allow for motion of the PIP joint with the fixator in place.…”

Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations

“…6,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] Early motion of the PIP joint along with traction and stable fixation have provided the best functional results. 18,21,27,29 Gaul and Rosenberg 29 described a simple frame that provided traction without using rubber bands or complicated connecting pieces.…”

Results of Osteotomy, Open Reduction, and Internal Fixation for Late-Presenting Malunited Intra-articular Fractures of the Base of the Middle Phalanx

“…25,26 Good functional results even in the setting of persistent dorsal subluxation and major step-offs are reported, with an improvement in active ROM from 13°to 88°. 25 This nonanatomic reconstruction [27][28][29][30][31][32] conflicts with the views of other researchers, 16,[33][34][35] who argue that the accuracy of anatomic reduction is the most important factor to achieve a good result and that late remodeling does not occur. 34,35 In late-presenting cases Mizuseki et al 36 concluded that distraction arthroplasty was not beneficial if joint incongruity existed.…”