Pilon Fracture of the Proximal Interphalangeal Joint: Use of a Combination of Fixation Techniques

Kinnucan, Elspeth

doi:10.1007/978-3-319-28579-5_9

Cited by 1 publication

(2 citation statements)

References 34 publications

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“…1 The goals for the surgical treatment of severe injuries are to create a stable, congruent joint with fixation that allows early motion as the fracture heals. 2,3 Surgical intervention for the treatment of PIP joint pilon fractures is indicated when achieving acceptable stable reduction is not possible by closed reduction.…”

Section: Introductionmentioning

confidence: 99%

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Closed Reduction and Percutaneous Pinning for Treatment of Proximal Interphalangeal Joint Pilon Fractures

Mazhar

Motaghi

2021

Hand (New York, N,Y.)

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Background: Proximal interphalangeal (PIP) joint pilon fractures are among the challenging hand injuries, which are often associated with a wide range of complications. This study aimed to report the clinical and radiological outcomes of closed reduction and percutaneous Kirschner wire (KW) insertion with or without bone cement application (for the fabrication of an external fixator) in the treatment of PIP joint pilon fractures. Methods: Twenty pilon fractures underwent closed reduction and percutaneous KW fixation through a modified technique. At the end of the follow-up period, 3 questionnaires—Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH), Visual Analogue Scale for pain, and Patient-Rated Wrist Evaluation—were completed. The radiological outcome was assessed by radiography. Range of motion, and grip and pinch strength were measured. Results: The mean follow-up period was 14.57 ± 4.03 months (range, 12-20 months). The mean range of motion of PIP at the end of the follow-up period was 89.64° ± 10.82° (range, 65°-100°). The mean difference in the range of motion in the contralateral side was 21.4° ± 13°. The mean of the Quick DASH score was 13.50 ± 2.92 (range, 11-21). Two patients had residual articular malalignment, and 3 patients had angular or rotational malunion. Conclusion: By treating pilon fractures with the proposed technique, we achieved a satisfactory outcome. The acceptable articular and axial alignment was achieved in 75% of patients, and complications were low. The flexibility of percutaneous KW insertion and handmade external fixators makes these approaches convenient for treating PIP joint pilon fractures.

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Section: Introductionmentioning

confidence: 99%

“…1 The goals for the surgical treatment of severe injuries are to create a stable, congruent joint with fixation that allows early motion as the fracture heals. 2,3…”

Section: Introductionmentioning

confidence: 99%

Closed Reduction and Percutaneous Pinning for Treatment of Proximal Interphalangeal Joint Pilon Fractures

Mazhar

Motaghi

2021

Hand (New York, N,Y.)

View full text Add to dashboard Cite

show abstract

Pilon Fracture of the Proximal Interphalangeal Joint: Use of a Combination of Fixation Techniques

Cited by 1 publication

References 34 publications

Closed Reduction and Percutaneous Pinning for Treatment of Proximal Interphalangeal Joint Pilon Fractures

Closed Reduction and Percutaneous Pinning for Treatment of Proximal Interphalangeal Joint Pilon Fractures

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