Volar plating of dorsal PIPJ fracture-dislocations
نویسنده
چکیده
1. exposure through A3 pulley 2. mobilization of volar fragment attached to volar plate 3. dorsal blocking wire to reduce and hold joint in place 4. elevation of any depressed articular fragment and bone grafting 5. repositioning of volar fragment over the base of middle phalanx 6. preliminary fixation with K wire 7. plating with mini 1.2 or 1.3mm T plate, or hook plate(s) 8. removal of dorsal block wire if stable Early range of motion exercise regime is started. A resting gutter splint is applied to prevent flexion contracture of the PIPJ.
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