![]() ![]() We found the results reproducible and based on our experience we recommend this technique to treat these complex intra-articular fractures of base of middle phalanx.ĭistraction dynamic external fixator Giddin’s frame Intra-articular base of phalanx fracture Management. We used the construct with slight modification of the original description and we feel this modification may help to reduce the pin site infection. Force-Couple is not applicable for pilon fractures as it does not distract the joint. No serious complication was noted during this period. Results are equal or better for Dynamic traction compared to percutaneous fixation or ORIF (Ruland et al. Dynamic traction is the most commonly utilized method and it certainly makes the. Early return to work, good pain relief and high level of patient satisfaction were achieved. for Pediatric, Unstable Comminuted Middle Phalanx Pilon Fracture. The average range of movement achieved was 13-87° at a mean follow-up of 16.4 weeks (Range 12-42 weeks). The purposes of this study were to review current literature on PIPJ fracture-dislocation modes of surgical repair (open reduction, percutaneous fixation, dynamic external fixation, extension block pinning and hemi-hamate arthroplasty) and analyze validated surgical and functional outcomes to determine efficacy of the numerous techniques in an a. The study group comprises of 7 male and 5 female patients at a mean age of 38.1 years (range 21-70 years). Dynamic Traction and Early Passive Movement for Fractures of the Proximal Interphalangeal Joint - PubMed Unstable intra-articular fractures that involve the proximal and middle phalanges often lead to joint stiffness and loss of function. Phalanx Dislocations are common traumatic injury of the hand involving the proximal interphalangeal joint (PIP) or distal interphalangeal joint (DIP). The outcome measures recorded were level of residual pain, arc of motion, X-ray appearance, return to work and satisfaction with the procedure. Data was collected by an independent observer at last follow-up appointment in the clinic. A cohort of 12 consecutive patients with pilon fracture of the proximal interphalangeal joint (comminuted fracture of the base of middle phalanx, longitudinally unstable with joint subluxation), were treated with this method over the study period. Giddins, Dynamic external fixation for pilon fractures of. The aim of the study was to assess the clinical outcomes and compare them to the original description by Hynes and Giddins. dynamic external traction devices for PIP joint fracture dislocation. Casts provide superior immobilization, but are less forgiving and have higher complication rates. We present our short term results of twelve pilon fracture dislocations treated by closed reduction and application of a distraction dynamic external fixator. Casting involves circumferential application of plaster or fiberglass to an extremity. Treatment for comminuted fracture dislocations of the proximal interphalangeal joint (pilon injuries) remains a challenge. ![]()
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