Treatment of dorsal fracture-dislocations of the proximal interphalangeal joint using the shotgun approach

Mazhar, Farid Najd; Jafari, Davod; Taraz, Hamid; Mirzaei, Alireza

doi:10.1177/1753193418766274

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…An alternative method is to fix the avulsed fragment with a small compression screw if the fragment is large enough (Liodaki et al., 2015). Najd Mazhar et al. (2018) reported open reduction and fixation through a shotgun approach.…”

Section: Intra-articular Fractures Of the Pip Jointmentioning

confidence: 99%

Current methods, outcomes and challenges for the treatment of hand fractures

Boeckstyns¹

2020

J Hand Surg Eur Vol

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In treating hand fractures, we have to make a proper decision about conservative treatment versus surgical intervention and decide on individual surgical methods. This article reviews recent publications, technical advances, and outcome measures in treating metacarpal fractures, phalangeal fractures, complex fractures of the proximal interphalangeal joints, bony mallet fingers, and fractures of the thumb. My personal preferences and considerations are presented. At the end, the current challenges that hand surgeons are facing in treating frequent phalangeal and metacarpal fractures are discussed.

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Section: Intra-articular Fractures Of the Pip Jointmentioning

confidence: 99%

Current methods, outcomes and challenges for the treatment of hand fractures

Boeckstyns¹

2020

J Hand Surg Eur Vol

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“…A total of 61 patients with 63 PIP joint fracture-dislocations were treated in our center during the study period. A total of 30 PIP joint was managed with ORIF through a shot-gun approach, the results of which were published in the European volume of the Journal of Hand Surgery (12). The severity of comminution led to the application of hemi-hamate arthroplasty for the remaining 33 PIP joint fracture-dislocations from 31 patients.…”

Section: Patientsmentioning

confidence: 99%

Evaluation of the clinical and radiological outcome of hemi-hamate arthroplasty in the ‎reconstruction of proximal interphalangeal Joint fracture-dislocations

Mazhar¹,

Bahaeddini²,

Jafari³

et al. 2019

Med. J. Islam. Republ. Iran

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Fracture-dislocation of proximal interphalangeal (PIP) joint is one of the devastating and challenging injuries of the hand. Several surgical techniques have been introduced for the treatment of this injury, each having its limitations. Hemihamate arthroplasty has been introduced as a promising approach for the treatment of these injuries. →What this article adds: Although hemi-hamate arthroplasty provides an acceptable outcome in the majority of the cases, it is associated with minimal functional limitation and high rate of osteoarthritis. Therefore, such complications should be discussed with patients before the surgery to address the patients' expectation of the results.

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“…1 The goals for the surgical treatment of severe injuries are to create a stable, congruent joint with fixation that allows early motion as the fracture heals. 2,3 Surgical intervention for the treatment of PIP joint pilon fractures is indicated when achieving acceptable stable reduction is not possible by closed reduction.…”

Section: Introductionmentioning

confidence: 99%

“…Using mini external fixators and percutaneous Kirschner wire (KW) fixation for treating various types of PIP joint fracture-dislocations is becoming more attractive. 4 These techniques can be the preferred choice of treatment, first, because they are low-profile, flexible, and readily available for emergencies [3][4][5][6][7] and, second, because they allow the patient to move both the reconstructed and adjacent joint while the instrument is used; early passive motion will consequently improve articular cartilage healing and regeneration. [4][5][6][7] Among all types of PIP joint fracture-dislocations, when choosing the best treatment for pilon fracture that involves the entire articular surface and results in comminution, central depression of the articular surface of the base of the middle phalanx is controversial.…”

Section: Introductionmentioning

confidence: 99%

Closed Reduction and Percutaneous Pinning for Treatment of Proximal Interphalangeal Joint Pilon Fractures

Mazhar

Motaghi

2021

Hand (New York, N,Y.)

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Background: Proximal interphalangeal (PIP) joint pilon fractures are among the challenging hand injuries, which are often associated with a wide range of complications. This study aimed to report the clinical and radiological outcomes of closed reduction and percutaneous Kirschner wire (KW) insertion with or without bone cement application (for the fabrication of an external fixator) in the treatment of PIP joint pilon fractures. Methods: Twenty pilon fractures underwent closed reduction and percutaneous KW fixation through a modified technique. At the end of the follow-up period, 3 questionnaires—Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH), Visual Analogue Scale for pain, and Patient-Rated Wrist Evaluation—were completed. The radiological outcome was assessed by radiography. Range of motion, and grip and pinch strength were measured. Results: The mean follow-up period was 14.57 ± 4.03 months (range, 12-20 months). The mean range of motion of PIP at the end of the follow-up period was 89.64° ± 10.82° (range, 65°-100°). The mean difference in the range of motion in the contralateral side was 21.4° ± 13°. The mean of the Quick DASH score was 13.50 ± 2.92 (range, 11-21). Two patients had residual articular malalignment, and 3 patients had angular or rotational malunion. Conclusion: By treating pilon fractures with the proposed technique, we achieved a satisfactory outcome. The acceptable articular and axial alignment was achieved in 75% of patients, and complications were low. The flexibility of percutaneous KW insertion and handmade external fixators makes these approaches convenient for treating PIP joint pilon fractures.

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Treatment of dorsal fracture-dislocations of the proximal interphalangeal joint using the shotgun approach

Abstract: IV.

Cited by 10 publications

References 19 publications

Current methods, outcomes and challenges for the treatment of hand fractures

Current methods, outcomes and challenges for the treatment of hand fractures

Evaluation of the clinical and radiological outcome of hemi-hamate arthroplasty in the ‎reconstruction of proximal interphalangeal Joint fracture-dislocations

Closed Reduction and Percutaneous Pinning for Treatment of Proximal Interphalangeal Joint Pilon Fractures

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