Dynamic external fixation for injuries of the proximal interphalangeal joint
| Autor: | Ronald J. Heptinstall, Janak A. Mehta, Gregory I. Bain, Marie Bria |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Osteosynthesis business.industry medicine.medical_treatment medicine.disease Surgery Lesion External fixation medicine.anatomical_structure Distraction Orthopedic surgery Medicine Upper limb Orthopedics and Sports Medicine Septic arthritis medicine.symptom business Interphalangeal Joint |
| Zdroj: | Flinders University PURE |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.80b6.0801014 |
| Popis: | 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 the patients had a chronic lesion and the mean time from injury to surgery was 215 days (3 to 1953). The final mean range of movement was 12 to 86°. Complications included redislocation and septic arthritis, which affected the outcome. Four pin-track infections and two breakages of the hinge did not influence the result. The PIP Compass hinge is a useful adjunct to surgical reconstruction of the injured PIP joint. |
| Databáze: | OpenAIRE |
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