Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials
Background Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to red...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2013-07-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.4.397 |
| _version_ | 1798041753725435904 |
|---|---|
| author | Jae Jun Lee Hyoung Joon Park Hyun Gon Choi Dong Hyeok Shin Ki Il Uhm |
| author_facet | Jae Jun Lee Hyoung Joon Park Hyun Gon Choi Dong Hyeok Shin Ki Il Uhm |
| author_sort | Jae Jun Lee |
| collection | DOAJ |
| description | Background Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair.
Methods We treated nine patients with fracture-dislocation of the PIP joint with small fractured bone fragments too small for pinning or screw fixation. Patients with volar plate injury were treated with open reduction and volar plate repair at the periosteum of the middle phalangeal bone base by the modified Kessler method using absorbable sutures. All patients were placed in a dorsal aluminum extension block splint, which maintained the PIP joint in approximately 30 degrees of flexion to avoid excessive tension on the sutured volar plate.
Results At a mean final follow-up of postoperative 9 months, all patients were evaluated radiographically and had adequate alignment of the PIP joint and reduction of the displaced bone fragments. Range of motion was improved and there were no complications.
Conclusions This technique is an excellent alternative to the current method of treating patients with fracture-dislocations that include small fragments that are too small for pinning or screw fixation. It is a less invasive surgical method and enables stable reduction and early exercise without noticeable complications. |
| first_indexed | 2024-04-11T22:26:00Z |
| format | Article |
| id | doaj.art-ce995f42dd224719aed65e594aad13c1 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T22:26:00Z |
| publishDate | 2013-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-ce995f42dd224719aed65e594aad13c12022-12-22T03:59:45ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-07-01400439740210.5999/aps.2013.40.4.397Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture MaterialsJae Jun Lee0Hyoung Joon Park1Hyun Gon Choi2Dong Hyeok Shin3Ki Il Uhm4Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, KoreaBackground Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair. Methods We treated nine patients with fracture-dislocation of the PIP joint with small fractured bone fragments too small for pinning or screw fixation. Patients with volar plate injury were treated with open reduction and volar plate repair at the periosteum of the middle phalangeal bone base by the modified Kessler method using absorbable sutures. All patients were placed in a dorsal aluminum extension block splint, which maintained the PIP joint in approximately 30 degrees of flexion to avoid excessive tension on the sutured volar plate. Results At a mean final follow-up of postoperative 9 months, all patients were evaluated radiographically and had adequate alignment of the PIP joint and reduction of the displaced bone fragments. Range of motion was improved and there were no complications. Conclusions This technique is an excellent alternative to the current method of treating patients with fracture-dislocations that include small fragments that are too small for pinning or screw fixation. It is a less invasive surgical method and enables stable reduction and early exercise without noticeable complications.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.4.397finger jointintra-articular fracturesvolar platesutures |
| spellingShingle | Jae Jun Lee Hyoung Joon Park Hyun Gon Choi Dong Hyeok Shin Ki Il Uhm Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials Archives of Plastic Surgery finger joint intra-articular fractures volar plate sutures |
| title | Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials |
| title_full | Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials |
| title_fullStr | Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials |
| title_full_unstemmed | Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials |
| title_short | Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials |
| title_sort | open reduction of proximal interphalangeal fracture dislocation through a midlateral incision using absorbable suture materials |
| topic | finger joint intra-articular fractures volar plate sutures |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.4.397 |
| work_keys_str_mv | AT jaejunlee openreductionofproximalinterphalangealfracturedislocationthroughamidlateralincisionusingabsorbablesuturematerials AT hyoungjoonpark openreductionofproximalinterphalangealfracturedislocationthroughamidlateralincisionusingabsorbablesuturematerials AT hyungonchoi openreductionofproximalinterphalangealfracturedislocationthroughamidlateralincisionusingabsorbablesuturematerials AT donghyeokshin openreductionofproximalinterphalangealfracturedislocationthroughamidlateralincisionusingabsorbablesuturematerials AT kiiluhm openreductionofproximalinterphalangealfracturedislocationthroughamidlateralincisionusingabsorbablesuturematerials |