External Dynamic Traction Device for Fracture of the Proximal Interphalangeal Joint of the Finger

Song,  Woo Suk; Kim,  Woo Sung; Kim,  Tae Hwan

Original Article

Journal of the Korean Society for Surgery of the Hand 2012;17(3):107-112.
Published online September 1, 2012.

External Dynamic Traction Device for Fracture of the Proximal Interphalangeal Joint of the Finger

Woo Suk Song, Woo Sung Kim, Tae Hwan Kim

Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea. w00wa@hotmail.com

Received: 10 June 2012 • Revised: 2 September 2012 • Accepted: 5 September 2012

Abstract

Purpose
We evaluated the results of treatment for proximal interphalangeal joint fractures using an external dynamic traction device. MATERIALS AND METHODS: This study included nine patients with a proximal interphalangeal joint fracture. All patients were treated using an external dynamic traction device. At the mean follow-up of 10.1 months, the range of motion of the involved interphalangeal joint was measured. The clinical outcome was evaluated using Steel's scoring method.

Results
The average range of motion was 95degrees (range: 75degrees-110degrees). According to Steel's scoring method, three cases showed excellent results, two cases showed good results, and four cases showed fair results.

Conclusion
The external dynamic traction device is useful and effective in treating proximal interphalangeal joint fractures. It enables reduction by ligamentotaxis and active and passive range of motion in the early stages of treatment.