Intraarticular fractures of the proximal interphalangeal joint

Goldberg, E.; Unglaub, Frank; Kneser, Ulrich; Horch, Raymund E.

doi:10.1007/s00113-008-1553-2

Cited by 7 publications

(2 citation statements)

References 49 publications

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“…Intraarticular middle phalanx fractures provide a poor prognosis for the range of motion of the injured joint due to the period of immobilisation following most osteosynthesis systems. The proximal interphalangeal joint makes up 40 % of the total finger flexion and is therefore biomechanically crucial for fist clenching and grip strength [5]. External fixators with the option of dynamic exercising during the healing period prevent ligamentous and tendinous adhesions.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Intraarticular Middle Phalanx Fractures Using the Ligamentotaxor®

Damert

Altmann

Kraus

et al. 2013

Hand (New York, N,Y.)

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Background We evaluated the outcome of intraarticular middle phalanx fractures after dynamic treatment with the Ligamentotaxor® system. Materials and methods Ten consecutive patients (seven male, three female; mean age 52 years) with intraarticular middle phalanx fractures were treated with the Ligamentotaxor® between 2009 and 2011. Proximal interphalangeal joint mobility, grip strength and 'Disabilities of the Arm, Shoulder and Hand' (DASH) score were evaluated in a 15-month followup. The reconstitution of the intraarticular space was measured immediately after trauma, at 6 weeks and at 15 months by radiograph control. The severity of the trauma was classified according to AO. Results We found B1 30 %, C1 (Seno I + II) 50 % and C3 (Seno III-V) 20 %. In 60 % of the cases, fractures were localized on the middle base of the fifth digit, in 20 % on the third digit and in 20 % on the index finger. The dynamic treatment lasted 7 weeks; patients were exposed to full workload after 9 weeks. The mean flexion mobility after 15 months reached 73°(range 60-100°), and the extension deficit was 13°(range 0-20°) on average. Grip strength attained 71.3 % (range 60-87 %) of the contralateral side. Initial x-ray after trauma compared to the x-ray after 15 months showed an intraarticular space reconstitution average of 0.5 mm (range 0.1-0.9 mm) anterior-posterior and 0.6 mm (range 0.1-1 mm) lateral. Patients evaluated their outcome with an average of 14.6 points (range 3.3-26.7) using the DASH score. Conclusion Good results can be obtained with the Ligamentotaxor®. We recommend it for the dynamic treatment of intraarticular middle phalanx finger fractures. Larger series and long-term results are needed.

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Section: Introductionmentioning

confidence: 99%

“…Acknowledgments All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for inclusion in the study.…”

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confidence: 99%