Open AccessDouble parabolic Kirschner-wires as dynamic distractor for treatment of unstable intraarticular phalangeal fractures of hand
Author(s) -
Bhaskar Borgohain,
Nitu Borgohain,
Praveen Tittal
Publication year - 2012
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.104213
Subject(s) - medicine , surgery , nonunion , reduction (mathematics) , range of motion , kirschner wire , distraction , percutaneous , interphalangeal joint , fixation (population genetics) , internal fixation , orthodontics , population , geometry , mathematics , environmental health , neuroscience , biology
Treatment of complex injuries of interphalangeal joints (IPJs) is difficult. The restoration of joint stability for early joint mobility till fracture union is the key for successful outcome. Although various treatment options like dynamic splinting, external fixator, closed reduction, transarticular Kirschner (K)-wire and ORIF, etc., are available in literature, a universally accepted ideal treatment for complex intraarticular fractures of IPJs is still evolving. Open reduction is difficult because fixation of volar fragment is often impractical and radical procedures like volar plate arthroplasty, arthrodesis or joint replacement, etc., may become mandatory for salvage. We describe percutaneous technique to treat unstable fractures and dorsal fracture-dislocations of the PIP joint and report short-term postoperative results.