Fracture-Dislocation Of Proximal Interphalangeal Joint Of The Hand: Results Of Traction System Using Ligamentotaxor Arex

  • Loubet Unyendje CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Mustapha Mahfoud CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Jamel Taoufik CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Kapoli Wetshi CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Mamy Raobeinoro CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Paolo Palmari CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Jean Uwingabiye CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Berrada saleh Mohamed CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
  • Moradh el Yaacoubi CHU IBN SINA service de traumatologie orthopédie, Université Mohammed V Faculté de médecine et de pharmacie de Rabat
Keywords: Fracture, dislocation, PIP, distraction, Ligamentotaxor

Abstract

Fracture-dislocations of the proximal interphalangeal(PIP) joint They are dorsal dislocations with an associated fracture of the volar articular surface of the middle phalanx . These injuries results from an axial load applied to an extended digit, they are unstable and requires surgical treatment. The dynamic traction method using ligamentotaxor Arex was used to treat these unstable injuries.

References

McElfresh EC, Dobyns JH, O’Brien ET. Management of fracture-dislocation of the proximal interphalangeal joints by extension-block splinting. J Bone Joint Surg [Am] 1972;54-A:1705-11.

Wilson JN, Rowland SA. Fracture-dislocation of the proximal interphalangeal jointof the finger: treatment by open reduction and internal fixation. J Bone Joint Surg [Am] 1966;48-A:493-502

Schenck RR. Dynamic traction and early passive movement for fractures of the proximal interphalangeal joint.J Hand Surg (Am) 1986;11:850–8

Krakauer JD, Stern PJ. Hinged device for fractures involving the proximal interphalangeal joint. Clin Orthop Relat Res 1996;327:29–37. 5. Khan W, Fahmy N. The S-Quattro in the management of acute intraarticular phalangeal fractures of the hand. J Hand Surg 2006; 31(B):79–92.

Pelissier Ph. Clinical case of Ligamentotaxor Bordeau CHU,2010. 7.Seno N, Hashizume H, Inoue H, Imatani J, Morito Y. Fractures of the base of themiddle phalanx of the finger, classification, management and long-term results.J Bone Joint Surg [Br] 1997;79(B):758-63.

Kiefhaber TR, Stern PJ. Fracture dislocations of the proximal interphalangealjoint. J Hand Surg 1998;23(A):368–380.

Hamer DW, Quinton DN. Dorsal fracture subluxation of the proximalinterphalangeal joints treated by extension block splintage.J Hand Surg 1992;17(B):586 –590.

Viegas SF. Extension block pinning for proximal interphalangealjoint fracture dislocations: preliminary report of a new technique.J Hand Surg 1992;17(A):896–901.

Krakauer JD, Stern PJ. Hinged device for fractures involving the proximal interphalangeal joint. Clin Orthop Relat Res 1996;327:29–37.

Bain GI, Mehta JA, Heptinstall RJ, Bria M. Dynamic external fixation for injuries of the proximal interphalangeal joint. J Bone Joint Surg 1998;80(B):1014 –1019.

Ruland RT, Hogan CJ, Cannon DL, Slade JF. Use of dynamic distraction external fixation for unstable fracture-dislocations of the proximal interphalangeal joint. J Hand Surg 2008;33A:19–25.

Hamilton SC, Stern PJ, Fassler PR, Kiefhaber TR. Mini-screw fixation for the treatment of proximal interphalangeal joint dorsal fracture-dislocations. J Hand Surg 2006;31A:1349–1354.

Williams RM, Kiefhaber TR, Sommerkamp TG, Stern PJ. Treatment of unstable dorsal proximal interphalangeal fracture/dislocations using a hemi-hamate autograft. J Hand Surg 2003;28A:856–865.

Freiberg A, Management of proximal interphalangeal joint injuries. Can J plast surg.2007; 15(4): 199-203
Published
2015-02-28
Section
Original Article