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|Title:||Dynamic external fixation for injuries of the proximal interphalangeal joint|
|Citation:||Journal of Bone and Joint Surgery: British Volume, 1998; 80B(6):1014-1019|
|Publisher:||BRITISH EDITORIAL SOC BONE JOINT SURGERY|
|Gregory I. Bain, Janak A. Mehta, Ronald J. Heptinstall, Marie Bria|
|Abstract:||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 degrees. 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.|
|Keywords:||Humans; Finger Injuries; Postoperative Complications; Range of Motion, Articular; Arthroplasty; Fracture Fixation, Internal; External Fixators; Adolescent; Adult; Middle Aged; Female; Male; Fractures, Bone; Joint Dislocations|
|Rights:||© 1998 British Editorial Society of Bone and Joint Surgery|
|Appears in Collections:||Orthopaedics and Trauma publications|
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