Treatment of Proximal Interphalangeal (PIP) Joint Fracture By Dynamic Kirschner Wire Fixator

Proximal interphalangeal (PIP) joint injuries remain challenging to hand surgeons [1]. Painless, stable and mobile PIP joint are the main goals for any treatment option of PIP joint [2,3]. Closed reduction and extension block pins [1,2] Open reduction of PIP joint fractures [3,4] and osteochondral hemihamate autograft arthroplasty [5,6] described for treatment of such difficult injuries. Maintenance of satisfactory alignment of the fracture and acceptable congruent joint surface, while allowing early joint motion would seem to be an ideal treatment option. Dynamic external fixation of PIP joint fractures provide indirect fracture reduction, maintain fracture alignment and allowing early movement which results in satisfactory functional outcome [7-13]. The present study describes the clinical outcome of treatment of (PIP) joint fracture by dynamic Kirschner wire fixator modified by Asal Fouad in 2009 [14]. Patients and Method