Coverage of Palmar Mini Plates with Flexor Pulleys in the Treatment of Dorsal Fracture-Subluxation of the Proximal Interphalangeal Joint

被引:0
作者
Maniglio, Mauro [1 ,4 ]
Zaidenberg, Ezequiel E. [2 ]
Boretto, Jorge G. [3 ]
De Carli, Pablo [3 ]
机构
[1] CHUV Ctr Hosp Univ Vaudois, Univ Hosp, Dept Hand & Plast Surg, Lausanne, Switzerland
[2] Univ Buenos Aires, Sch Med, Anat Dept, Buenos Aires, Argentina
[3] Univ Hosp, Hosp Italiano Buenos Aires, Dept Orthopaed & Traumatol, Buenos Aires, Buenos Aires, Argentina
[4] CHUV Ctr Hosp Univ Vaudois, Univ Hosp, Dept Hand & Plast Surg, Ave Pierre Decker 4, CH-1005 Lausanne, Switzerland
关键词
Fracture-luxation; Proximal interphalangeal joint; Open reduction internal fixation; Flexor digitorum profundus; Pulley;
D O I
10.1142/S242483552350073X
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Dorsal fracture dislocations (DFD) of the proximal interphalangeal joint (PIPJ) are challenging fractures. A palmar surgical approach and plate fixation has a high complication rate, including flexor contractions, reduction of range of motion (ROM) and secondary need for plate removal.Methods: We use the flexor tendon pulleys to cover the mini plate with the assumption that it may reduce the adhesion between the mini plates and the tendons and reduce postoperative complications. We present the outcomes of using this technique in eight patients.Results: All patients had an excellent outcome at a mean follow-up of 17 months, and none required removal of the implants.Conclusions: This study presents a surgical technique that may potentially reduce the high complication rate found after ORIF for treatment of DFD of the PIPJ. Therefore, improving the clinical outcomes after this type of surgery.Level of Evidence: Level IV (Therapeutic)
引用
收藏
页码:695 / 698
页数:4
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