Dynamic “Homemade” Digital External Fixators for Proximal Interphalangeal Joint Injuries

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Dynamic external fixation for injuries of the proximal interphalangeal joint.

Pain, stiffness, instability and degenerative arthritis are common sequelae of complex fracture-dislocations of the proximal interphalangeal (PIP) joint. Operations were carried out to obtain stability, followed by application of a dynamic external fixator in 20 patients with a mean age of 29 years. This provided stability and distraction, and allowed controlled passive movement. Most (70%) of ...

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Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations.

PURPOSE Many skeletal traction devices have been described to treat fracture dislocations of the proximal interphalangeal (PIP) joint. Most of these techniques are technically challenging or involve cumbersome frames. We present a design modification that enhances the stability of a simple dynamic fixation system described previously and report our results with this technique. METHODS A previ...

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Management of proximal interphalangeal joint injuries.

Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mechanism of injury allows for classification so that a treatment protocol can be...

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Dynamic External Fixation for Unstable Fracture-Dislocations and Pilon Fractures of the Proximal Interphalangeal Joint

Injuries to the proximal interphalangeal joint (PIPJ) of the fingers are common. They occur most often following an axial impact on an extended finger. Fractures of the proximal interphalangeal joint include a wide spectrum of injuries, from stable avulsion fractures to complex fracture-dislocations. Stability of the joint is paramount in determining the appropriate treatment, which should aim ...

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The stiff proximal interphalangeal joint

One of the major challenges, if not the major challenge, in the management of Dupuytren’s disease is correction of the proximal interphalangeal joint contracture and maintenance of this correction. In 1831 Dupuytren himself [1] recognized the difficulty in straightening the proximal interphalangeal joint. Despite this, much of the early literature focused on Dupuytren’s Disease in the palm [2]....

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ژورنال

عنوان ژورنال: The Journal of Hand Surgery

سال: 2018

ISSN: 0363-5023

DOI: 10.1016/j.jhsa.2018.03.027