Die frühfunktionelle Therapie intraartikulärer Mittelgliedbasisfrakturen mit der modifizierten Traktionsschiene

Abstract

Dynamic traction with the help of the modified traction devices is suitable for treating intra-articular fractures of the proximal interphalangeal joint, as demonstrated by a comparison with the literature. Patients who underwent additional open surgery showed less favorable results. The present method has the advantage that only one wire needs to be inserted subcapitaly at a distance from the fracture in the middle finger and this facilitates further surgical interventions.

Traumatic Loss of the Ulnar Condyle of the Proximal Phalanx of the Ring Finger Repaired with a Palmar Plate Flap: a Case Report

“…At the almost 3-year follow-up, the mean range of motion in the PIP joint was 70 ° (range 30-110 °) and the mean DASH score was 6. The authors conclude that their modified traction device is suitable for treating intraarticular fractures of the PIP joint and less favourable results were obtained in patients who underwent additional open surgery[2].…”

“…In these circumstances, a simple open reduction and fixation with K-wires or screws is rarely feasible, and if so, it usually results in a stiff joint. To avoid this, some optional solutions may be useful, e. g. refixation of the palmar plate, dynamic traction devices, percutaneous stuffing, or replacement by a hemi-hamate autograft [1][2][3][4]. PIP joint surface replacement arthroplasty may be also considered, but is rarely available in an emergency situation.…”