Pattern of recovery after open reduction and internal fixation of proximal phalangeal fractures in the finger: a prospective longitudinal study

Abstract

III.

Dynavisc as an Adhesion Barrier in Finger Phalangeal Plate Fixation—a Prospective Case Series of 8 Patients

“…The recovery pattern matched that of Miller et al 27 until 3 months. In our study, there was further improvement in joint motion between 3 months and 1 year, but because Dynavisc is said to be resorbed within 30 days, it is unlikely that the improvement in TAM several months later resulted from the use of the barrier gel.…”

Interosseous wiring for fragmented proximal phalangeal fractures

“…Firm fixation and early rehabilitation are recommended to prevent postoperative extensor tendon adhesions and ROM limitation [ 14 , 15 ], Miller et al. reported that functional recovery (ROM, pain relief, return to work, and grip strength) was mostly achieved within the first 6 postoperative weeks [ 15 ].…”

“…Firm fixation and early rehabilitation are recommended to prevent postoperative extensor tendon adhesions and ROM limitation [ 14 , 15 ], Miller et al. reported that functional recovery (ROM, pain relief, return to work, and grip strength) was mostly achieved within the first 6 postoperative weeks [ 15 ]. Al-Qattan and Al-Zahrani reported that of the 15 patients with long oblique/spiral fractures of the phalangeal shaft who underwent open cerclage wire fixation, 12 achieved full-range motion (TAM 260°) by starting ROM training immediately after surgery.…”

Early active motion after rigid internal fixation of unstable extra-articular fractures of the proximal phalanx

“…Miller et al evaluated the pattern of recovery in patients with proximal phalanx fracture who were operated with open reduction and rigid fixation and had rehabilitation started within 1 week. However, no details of the rehabilitation programme were given (Miller et al, 2017). Favourable results were recorded at the end of a 12-week programme.…”