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Journal of the Korean Society for Surgery of the Hand 2004;9(3):166-170.
Published online September 1, 2004.
Treatment of Fracture-Dislocation of the Proximal Interphalangeal Joint of the Digit
Yong Jin Kim, Jin Churl Park, Byeong Seon Kong
수지 근위지 관절 골절탈구의 치료
김용진, 박진철, 공병선
Abstract
Purpose
The clinical and radiological results of the fracture-dislocation of the proximal interphalangeal joint of the digit treated by various methods of treatment under the principle of maintenance of concentric reduction and early joint motion have been investigated retrospectively. Materials and Methods: From 1994 to 2003, 9 cases with fracture-dislocation of the proximal interphalangeal joint of the digit which were treated in our clinic and followed more than 1 year were included in this study. 5 cases were palmar lip fracture and 4 cases were pilon fracture. Treatment methods were done as follows: 2 traction only, 2 closed reduction and percutaneous fixation, 2 open reduction and internal fixation, 2 internal fixation and traction, 1 palmar plate arthroplasty. Bone union was evaluated by roentgenogram and clinical result was evaluated by Steel’s scoring method. Results: Bone union was achieved 6 weeks postoperatively in an average. In palmar lip fracture, 1 case showed excellent result, 3 cases were good, and 1 case was fair. In pilon fracture, 1 cases showed good result and 3 cases were fair. Mean range of motion of the proximal interphalangeal joint was 70 degree (range 40~90). Conclusion: In treatment of fracture-dislocation of the proximal interphalangeal joint of the digit, selection of various methods under the principle of maintenance of concentric reduction and early joint motion is important to obtain a relatively good result.
 


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