Intra-Articular and Peri-Articular Fractures of the Phalanges

Lee, M. L. H.

doi:10.1302/0301-620x.45b1.103

Cited by 46 publications

(8 citation statements)

References 6 publications

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“…[2–4] The management of intra-articular fractures of the PIP joint is a therapeutic problem. [5] Multiple systems of categorising this injury exist.…”

Section: Discussionmentioning

confidence: 99%

Hemi-hamate arthroplasty for pilon fractures of finger

Korambayil¹,

Francis²

2011

Indian J Plast Surg

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Background:Injury following proximal interphalangeal joint fracture dislocation is determined by the direction of force transmission and the position of the joint at the time of impact. Dorsal dislocations with palmar lip fractures are the most frequently encountered. The degree of stability is directly determined by the amount of middle phalangeal palmar lip involvement.Materials and Methods:Hemihamate arthroplasty procedure was used in the reconstruction in five cases with comminuted, impacted fractures of the proximal end of middle phalanx of the finger. Three patients were presented within 2 weeks; one patient came by one month and the other by three months following the injury. All patients presented with posterior subluxation of PIP joint.Results:Functional outcome following this procedure in both acute and chronic cases resulted in adequate restoration of joint stability and function.Conclusions:Hemihamate arthroplasty is an adjuvant in the treatment of unstable intra-articular pilon fracture involving PIP joint.

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“…[2–4] The management of intra-articular fractures of the PIP joint is a therapeutic problem. [5] Multiple systems of categorising this injury exist.…”

Section: Discussionmentioning

confidence: 99%

Hemi-hamate arthroplasty for pilon fractures of finger

Korambayil¹,

Francis²

2011

Indian J Plast Surg

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“…Aching of the joint in cold weather appeared to be a frequent complaint. 57,58 Owing to the lack of comparative studies, the surgical treatment of fractures of the PIPJ is still largely based on the experience and personal preference of individual surgeons. For the dorsal fracture-dislocation with a volar lip, if the volar fragment is less than 30% of the articular surface, we favour extension-block splinting with a wire.…”

Section: Post-traumatic Osteoarthritismentioning

confidence: 99%

Fractures of the proximal interphalangeal joints of the fingers

Oliver

2009

The Journal of Bone and Joint Surgery. British volume

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“…Fracture-dislocation of the proximal interphalangeal (PIP) joint of the hand, although relatively uncommon, is a potentially disabling injury which leads to persistent pain and stiffness. [1][2][3] The management of unstable fracture-dislocations which involve the PIP joint is still a formidable dilemma. Immobilisation after closed reduction invariably leads to stiffness.…”

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confidence: 99%

Complex fracture-dislocation of the proximal interphalangeal joint of the hand

Deshmukh

Kumar

Mathur

et al. 2004

The Journal of Bone and Joint Surgery. British volume

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We reviewed 13 patients with a complex fracture-dislocation of the proximal interphalangeal joint of a finger and one patient with a complex fracture-dislocation of the interphalangeal joint of thumb. We had treated these injuries using a pins and rubbers traction system which had been modified to avoid friction of the pins against the bone during mobilisation of the joint in order to minimise the risk of osteolysis. A Michigan hand outcome questionnaire was used for subjective assessment. The active range of movement (AROM) of the proximal and distal interphalangeal joints and the grip strength were used for objective assessment. The mean follow-up was 34 months (12 to 49). The mean normalised Michigan hand outcome score was 84. The mean AROM of the proximal interphalangeal joint was 85 degrees and that of the distal interphalangeal joint 48 degrees. The mean grip strength was 92% of the uninvolved hand. Twelve patients have returned to their original occupations. There has been no radiological osteolysis or clinical osteomyelitis. This modified traction system has given acceptable results with a low rate of complications. It is light, cheap, effective and easy to apply.

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Intra-Articular and Peri-Articular Fractures of the Phalanges

Cited by 46 publications

References 6 publications

Hemi-hamate arthroplasty for pilon fractures of finger

Hemi-hamate arthroplasty for pilon fractures of finger

Fractures of the proximal interphalangeal joints of the fingers

Complex fracture-dislocation of the proximal interphalangeal joint of the hand

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