Les luxations des articulations interphalangiennes proximales des doigts longs

Schernberg, F.; Elzein, Fouad; Gillier, P.; Gérard, Yves

doi:10.1016/s0753-9053(82)80039-2

Cited by 12 publications

(5 citation statements)

References 10 publications

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“…1 This vascularity pattern results in more proximal fractures being more prone to non-union and/or avascular necrosis of the proximal pole (AVNPP). [2][3][4][5][6][7] Little et al and Dinah et al in two separate articles 8,9 proved that in patients operated for a scaphoid non-union with a non-vascularized bone graft (nVBG), the smokers had a worse healing outcome. Our study aims to scrutinize on the effect of smoking in patients with scaphoid nonunion that were operated on with a vascularized bone flap (VBF) instead.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

Konstantinidis¹,

Christidis

Konstantinou

et al. 2022

Orthopedic Reviews

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Background The purpose of this study is to compare the vascularized bone flaps (VBF) that are used in operations for scaphoid non-union in smokers and non-smokers and to scrutinize if the better biological potential of the VBFs can counteract the negative influence of smoking on healing. Materials and Methods Our study included articles published until 2016, with scaphoid non-union patients who were operated on with a VBF or a VBG. Results Eighteen articles met eligibility criteria with 335 non-smokers and 136 smokers totally. Healing of the scaphoid non-union was significantly more probable in the non-smoking group (OR=5.54, p<0.001). Patients with avascular necrosis in the proximal pole of the scaphoid (AVNPP) and non-AVNPP showed that non-smoking favors a better healing rate in both of these subgroups (p<0.001 and p<0.001, respectively). Non-smokers have 11 times and the non-AVNPP patient’s 7.7 times greater probability of healing of the non-union. Meta-analysis of the data for time for healing showed a longer time in the smokers’ group by 2.46 weeks, though non-statistically significant. The analysis could not prove that smoking is a predisposing factor for the development of AVNPP (spearman=0.094, p<0.05). Despite that, preoperative smoking cessation proved to be an inadequate healing moderator (OR=3.5, p=0.268). Finally, VBFs showed a significantly better healing rate compared with nVBGs in smokers (p=0.001). Conclusions A hand surgeon should always take into consideration that smoking negatively influences the healing potential of a scaphoid non-union despite the theoretically superior biological background that VBFs offer. In patients who refuse to quit smoking, a VBF may be considered a better choice than a conventional graft.

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Section: Introductionmentioning

confidence: 99%

The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

Konstantinidis¹,

Christidis

Konstantinou

et al. 2022

Orthopedic Reviews

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“…The mechanism of onset corresponds to forced hyperextension, which would dislocate the DIP first then the PIP [4,14] . According to Schernberg's studies of 20 cadaver fingers, in addition to the hyperextension a laterality movement has been observed [15] . On the Radiographs of our patient we noticed a lateral displacement of P3 and P2 which agrees with the observations of Schernberg.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous double dislocation of the interphalangeal joints of the fourth finger: A case report

Essid¹,

Drissi²,

Ali³

et al. 2018

Int. J. Orthop. Sci.

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Double dislocation of the proximal (PIP) and the distal interphalangeal (DIP) remains an extremely rare entity. The association with a metacarpal fracture of the same hand reflects the violence of the trauma. We report a case of simultaneous bipolar dorsal dislocation of the interphalangeal joints of the fourth finger associated with a fracture of the 3rd metacarpal bone, managed by a closed reduction and neighbour strapping associated with a plastered cuff, with a good out came.

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“…Soft-tissue repair has been discussed controversially except for repair of the radial collateral ligament in the index finger and for central slip avulsions. 3 – 5 We are convinced that repair of completely ruptured collateral ligaments is beneficial for immediate active motion. In contrast, volar plate avulsions are commonly treated with extension block splinting or buddy taping.…”

Section: Treatment Algorithmmentioning

confidence: 97%

“… 16 – 18 Irreducible dorso-lateral dislocations always exhibit complete rupture of a collateral ligament. 5 , 19 Dorsal and dorso-lateral dislocations can be reduced over a volar approach. For this purpose, the flexor sheath is exposed over a Bruner incision.…”

Section: Treatment Algorithmmentioning

confidence: 99%

See 1 more Smart Citation

Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair

Frueh

Vogel

Honigmann

2018

Plastic and Reconstructive Surgery - Global Open

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Les luxations des articulations interphalangiennes proximales des doigts longs

Cited by 12 publications

References 10 publications

The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

The Influence of Smoking on Healing of Scaphoid Non-union after a Vascularized Pedicle Bone Flap Operation: A Review and Meta-analysis

Simultaneous double dislocation of the interphalangeal joints of the fourth finger: A case report

Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair

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