![]() ![]() Skeletal traction is safe and gives results that are radiographically and clinically comparable to those achieved with open reduction. Open reduction should be approached cautiously and may result in significant complications. Treatment by immobilization is undesirable. This study evaluates the use of limited internal fixation and dynamic traction for the treatment of severely displaced digital and thumb pilon fractures. No patient regained full mobility at either interphalangeal joint. Anatomic restoration of PIP articular contour was not achieved, regardless of technique. Treatment was divided into three categories: splint (four patients), skeletal traction through the middle phalanx (seven patients), and open reduction with Kirschner pins (nine patients). The fracture is generally reported to involve the more ulnar digits and the pattern is considered unstable with case reports documenting poor outcomes. or fracture-dislocations involving the base of the middle phalanx and. Clinical and radiographic follow-up averaged 25 months. Phalangeal Shaft, Proximal / Middle, Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb without manipulation. The pilon fracture of the hand is a comminuted, intraarticular fracture involving a proximal interphalangeal joint of the hand. Hinged fixation and dynamic traction can potentially achieve these goals through. Metaphyseal bone grafting was necessary to support the articular surface in three acute and both late patients. A wide range of treatment options are available with variable results. Injury was produced by an axial load and occurred primarily to the ulnar digits. Contiguous 1.5-mm sagittal computed tomographic imaging was performed on each proximal interphalangeal joint fracture the imaging documented an average impaction of 30 of the articular surface area. Management of the pilon fractures of base of middle phalanx is a challenging problem. This study reviews three treatment methods and results in 20 patients. Dynamic external fixation for pilon fractures. A pilon fracture is an uncommon intraarticular fracture of the proximal interphalangeal (PIP) joint resulting in comminution, central depression, and splay, sagittally and coronally, of the articular surface of the base of the middle phalanx. The alternative treatment for comminuted fracture of the middle phalanx is traction of the involved phalanx to maintain articular integrity and bony continuity through capsuloligamentotaxis (traction on capsular and periarticular soft tissues resulting in reduced displaced fracture fragments). ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |