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 ...

BACKGROUND Proximal interphalangeal joint (PIPJ) dislocations represent a significant proportion of hand clinic visits and typically require frequent follow-ups for clinical assessment, orthotic adjustments, and physiotherapy. There are a large number of treatment options available for PIPJ dislocations, yet no prospective or controlled studies have been carried out, largely due to the diversit...

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 ...

Abstract Background The hemi-hamate arthroplasty is utilised for the management of complex fracture-dislocations injuries proximal interphalangeal joints (PIPJ) fingers. PIPJ outcomes are well described, including post-operative range motion, grip strength and osteochondral graft union. However, there a paucity evidence analysing rate donor site morbidity complications. This systematic review a...

introduction fracture - dislocations of the talus are typically due to high energy injuries. displaced fracture - dislocations of the talus have poor outcomes in general and complications are common. although talar fracture is common and comprises the second most common tarsal fracture, bilateral fracture - dislocations of the talus are rare. not many reports regarding the subject can be found ...

Abstract Background The proximal interphalangeal (PIP) joints of the fingers are extremely important for gripping things with hands, more specifically, what is called ‘power grip’. Aim Work To compare different modalities repair intra-articular fractures PIP joint. Materials and Method A systematic review meta-analysis were performed in accordance to recommendations “Preferred Reporting Items S...

background: trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. the treatment can be achieved either surgically by open reduc tion and internal fixation or closed reduction and casting.   methods: to compare surgical versus non-operative results of treatment of trans-scaphoid peri...

  Background: Trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. The treatment can be achieved either surgically by open reduc tion and internal fixation or closed reduction and casting.   Methods: To compare surgical versus non-operative results of treatment of trans-scaphoid pe...