Staged External Fixation for Chronic Fracture-Dislocation of the Proximal Interphalangeal Joint: Outcomes of Patients With a Minimum 2-Year Follow-Up

Hamada, Yoshitaka; Hibino, Naohito; Tonogai, Ichiro; Konishi, Takenori; Satoura, Masaya; Yamano, Masahiro

doi:10.1016/j.jhsa.2011.11.005

Cited by 9 publications

(4 citation statements)

References 9 publications

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“…Third, joint protection or spontaneous remodeling with improved subjective symptom (i.e., pain reduction) after concentric movement under distraction using DEF was reported by us previously. 11 Due to these positive contributions, we prefer DEF for the treatment finger joint contractures. Our case was diagnosed as the congenital finger contracture because the bilateral contracture was noted in infancy and radiographs showed the bilateral flattened metacarpal heads.…”

Section: Discussionmentioning

confidence: 99%

Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Ohira¹,

Hamada

Toyama

et al. 2023

Journal of Hand and Microsurgery

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The surgical soft tissue release of extension contracture at metacarpophalangeal (MP) joint is technically easy; however, the preventive hand therapy after surgery is really difficult in clinical practice. Congenital MP joint contracture, especially little finger, is also difficult to spread its limited range of motion (ROM). Here, we present a patient with a congenital MP joint contracture of the little finger managed with dynamic external fixator (DEF). A 21-year-old male irritated from limited ROM associated with pain of the right little finger of more than 1 year. The symptom started after trauma on his hand while playing lacrosse. Further examination revealed that his MP joint was congenitally contracted. To address this pathology, DEF followed by orthotic therapy was done. Two years after the procedure and therapy, the MP joint ROM of the finger surpassed that of the contralateral unaffected digit without pain and recurrence. The patient was able to return to his sports of lacrosse.

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Section: Discussionmentioning

confidence: 99%

Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Ohira¹,

Hamada

Toyama

et al. 2023

Journal of Hand and Microsurgery

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“…Insertion of k-wires is subject to the risk of infection although the need for removal of fixator due to infection is rare and management with oral antibiotics usually suffices. Static external fixation can be utilized as a step before operative reduction and fixation of PIP joint 19 or as a definitive treatment. 20 Using a static fixator obviates the need for a complex outrigger system.…”

Section: Discussionmentioning

confidence: 99%

Static Traction and Early Mobilization Protocol for Intra-articular Fractures of Proximal Interphalangeal Joint: Technique and Outcome

Bhardwaj¹,

Darawade²,

Shanmuganathan³

2022

Journal of Orthopedics and Joint Surgery

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The procedure was done under the brachial plexus block. Under fluoroscopic control, the fracture dislocation was reduced by longitudinal traction and flexion of the joint. The aim was to get the fracture fragments into the best possible alignment by molding, using the soft tissue envelope around the site of the fracture and correct joint subluxation. We did not attempt any percutaneous/ invasive technique for fracture reduction. A preliminary reduction also indicated the amount of traction needed to maintain joint alignment and the degree of flexion required.The material needed for the traction assembly is-plaster roll, malleable aluminum splint, no. 1 polypropylene suture, cotton bandages, and adhesive tape (Fig.

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“…Including the chronic dorsal-fracture dislocation of the PIP joint, surgical rehabilitation under the concentric movement with protected distraction of the affected PIP joint more than 6 weeks can promote the remodeling of the cartilage defect at the center of the joint. 22…”

Section: External Fixator For Intra-articular Fractures and Fracture mentioning

confidence: 99%

Hand Surgery in Japan

Minamikawa

Horii

Hamada

2021

Journal of Hand and Microsurgery

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Japan has faced the most challenging times in the past. Through precise diligence by stalwarts and doyens of initial hand surgeons, it led an incredible path for the most significant moments of hand surgery. This article describes the early phase of development of Japanese Society for Surgery of the hand, substantial and innovative contributions from surgeons. A noteworthy and significant achievement in the hand surgery is microsurgery and its utilities for all hand-related diseases. The first replantation of the thumb, toe transfers and wrap-around flaps are the effective surgical techniques developed and imparted to the fellow hand surgeons worldwide. We had a particular interest in congenital hand surgery and developed a modification of congenital hand classifications and introduced many surgical techniques. Besides, we grew ourselves refining more in hand and microsurgery, innovating flexor tendon repair, peripheral nerve surgeries, wrist arthroscopy, joint replacements, external fixators, and implant arthroplasty for rheumatoid hand. We share our health care information, insurance working model and hand surgery training schedule in Japan.

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Staged External Fixation for Chronic Fracture-Dislocation of the Proximal Interphalangeal Joint: Outcomes of Patients With a Minimum 2-Year Follow-Up

Cited by 9 publications

References 9 publications

Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Static Traction and Early Mobilization Protocol for Intra-articular Fractures of Proximal Interphalangeal Joint: Technique and Outcome

Hand Surgery in Japan

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