Management of Posttraumatic Proximal Interphalangeal Joint Contracture

Houshian, Shirzad; Jing, Shan Shan; Chikkamuniyappa, C.; Kazemian, Gholam Hussein; Emami-Moghaddam-Tehrani, Mohammad

doi:10.1016/j.jhsa.2013.03.014

Cited by 26 publications

(9 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Артрогенні контрактури суглобів пальців кисті представляють складну категорію функціональних порушень, які обумовлені як топографо-анатомічними взаємовідносинами контактних поверхонь суглобів, так і станом м'яких тканин, що оточують суглоб [2]. Провідними причинами артрогенних контрактур є багатоуламкові внутрішньосуглобові переломи фаланг, що не зрослися, компресійні та імпресійні переломи з порушенням конгруентності суглоба, переломи виростків із неусуненим зміщенням фрагментів, невправлені вивихи і підвивихи у суглобах із пошкодженнями колатеральних зв'язок, переломи, що неправильно зрослись із хибною установкою пальця [3,4].…”

Section: вступunclassified

Surgical Treatment of Persistent Contractures of the Interphalangeal Joints of the Fingers

Naumenko

Kostrytsia²,

Mametiev

2020

HOTP

View full text Add to dashboard Cite

Summary. Relevance. The treatment of the consequences of intraarticular injuries of fingers is still one of the problems that requires further solution. Objective: to improve the results of surgical treatment of post-traumatic persistent contractures of the interphalangeal joints of the fingers. Materials and Methods. To analyze the effectiveness of the proposed treatment approach The results of treatment of 77 patients with post-traumatic contractures of the joints of the fingers, distributed into clinical groups and subgroups, depending on the severity of the injuries and the type of applied clinical rehabilitation program, were analyzed. Patients of the main groups were treated according to the proposed clinical rehabilitation program, indicators were analyzed before treatment, 3 months and 1 year after treatment using a point system for assessing the functional state of the hand and the QuickDASH scale. Results. According to the results of the analysis of 77 patients with the consequences of injuries of the interphalangeal joints using 2 systems for assessing the function of the interphalangeal joints, it was found that treatment of severe and moderate arthrogenic contractures with the method of distraction arthroplasty and corrective osteotomy improves functional results by achieving congruent relationships in joints and mobilization of the ligamentous apparatus. Conclusions. Comprehensive treatment according to the proposed clinical rehabilitation program allows to increase the number of immediate positive results in the main subgroups of both groups to 22 (68.8%) versus 5 (11.1%) in the comparison subgroups (p<0.001) on a rating scale, and excellent and good results on the QuickDASH scale up to 20 (62.5%) and 12 (37.5%) versus 1 (2.2%) and 41 (91.1%) cases, respectively (p<0.001). When studying the long-term results of surgical treatment of arthrogenic contractures of the interphalangeal joints, positive results were obtained in 37 (63.8%) patients, satisfactory in 20 (34.5%) and unsatisfactory in 1 (1.7%) case according to the rating scale; 27 (46.6%) excellent, 30 (51.7%) good and 1 (1.7%) satisfactory results showed QuickDASH scale.

show abstract

Section: вступunclassified

Surgical Treatment of Persistent Contractures of the Interphalangeal Joints of the Fingers

Naumenko

Kostrytsia²,

Mametiev

2020

HOTP

View full text Add to dashboard Cite

show abstract

“…However, all distraction devices can be principally classified into one of two types: extension correction or distraction correction devices (Figure 12). 85…”

Section: Joint Stiffness or Flexion Contracturementioning

confidence: 99%

“…Additionally, this study reported a combined complication rate of less than 15% for pin-tract infection, swelling, redness, temporary flexion deformity of the DIP join, and pain, with all complications being completely resolved within a few weeks after the treatment period. 82,85…”

Section: Joint Stiffness or Flexion Contracturementioning

confidence: 99%

Complications of Proximal Interphalangeal Joint Injuries

2018

View full text Add to dashboard Cite

Proximal interphalangeal joint injuries are one of the most common injuries of the hand. The severity of injury can vary from a minor sprain to a complex intra-articular fracture. Because of the complex anatomy of the joint, complications may occur even after an appropriate treatment. This article provides a comprehensive review on existing techniques to manage complications and imparts practical points to help prevent further complications after proximal interphalangeal joint injury.

show abstract

“…If overlooked, shortening, adhesion, and fibrosis of periarticular structures may lead to joint contracture, severely compromising hand function. 14 , 15 The synthesis of preoperative clinical and radiographic findings directs the surgical approach (Fig. 1 ).…”

Section: Treatment Algorithmmentioning

confidence: 99%