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J Hand Surg Eur Vol · Feb 2017
ReviewThe use of dynamic external fixation in the treatment of dorsal fracture subluxations and pilon fractures of finger proximal interphalangeal joints.
- M M Abou Elatta, F Assal, H M Basheer, A F El Morshidy, S M Elglaind, and M A Abdalla.
- Hand Unit, Al-Razi Hospital, Elshwiekh, Kuwait.
- J Hand Surg Eur Vol. 2017 Feb 1; 42 (2): 182-187.
AbstractThe aim of this study was to review the outcome of the treatment of finger proximal interphalangeal joint dorsal fracture subluxations and pilon fractures with a modified external fixator. We treated 36 patients (36 fingers). We assessed the ranges of motion and patient satisfaction. At final follow-up, 23 patients had no pain; 11 had pain in the cold; and two also had mild pain. None had moderate or severe pain. The mean range of proximal interphalangeal joint motion was 86° (60°-100°). The mean total active range of finger motion was 244° (range 200°-265°). This system is simple, cheap and relatively easily applied. It gives stable fixation that allows early mobilization.
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