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CC BY-NC 4.0 · Arch Plast Surg 2013; 40(04): 397-402
DOI: 10.5999/aps.2013.40.4.397
Original Article

Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials

Jae Jun Lee
Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea
,
Hyoung Joon Park
Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea
,
Hyun Gon Choi
Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea
,
Dong Hyeok Shin
Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea
,
Ki Il Uhm
Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea
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Background Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair.

Methods We treated nine patients with fracture-dislocation of the PIP joint with small fractured bone fragments too small for pinning or screw fixation. Patients with volar plate injury were treated with open reduction and volar plate repair at the periosteum of the middle phalangeal bone base by the modified Kessler method using absorbable sutures. All patients were placed in a dorsal aluminum extension block splint, which maintained the PIP joint in approximately 30 degrees of flexion to avoid excessive tension on the sutured volar plate.

Results At a mean final follow-up of postoperative 9 months, all patients were evaluated radiographically and had adequate alignment of the PIP joint and reduction of the displaced bone fragments. Range of motion was improved and there were no complications.

Conclusions This technique is an excellent alternative to the current method of treating patients with fracture-dislocations that include small fragments that are too small for pinning or screw fixation. It is a less invasive surgical method and enables stable reduction and early exercise without noticeable complications.

Keywords

Finger joint - Intra-articular fractures - Volar plate - Sutures

This article was presented at the 70th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 9, 2012 in Seoul, Korea.




Publication History

Received: 20 February 2013

Accepted: 29 April 2013

Article published online:
01 May 2022

© 2013. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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