Title: Management of unstable Dorsal fracture - dislocation of the proximal interphalangeal joint by volar plate fixation with or without Bone graft
Authors: Dr Rajeev Kumar Rajak, M.S. (Ortho.), M.Ch. (Plastic)1, Dr Arvind Kumar M.S. Ortho.
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.36
Abstract
Background: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates.
Method: Thirteen patients with extensive dorsal fracture dislocation of PIP joints were reconstructed with fabricated hook plate with elevation and bone grafting of depressed articular fragment.
Result: Hook plate treatment of PIP joint fracture dislocation restore articular anatomy and joint congruence at a single sitting and permits post operative mobilisation without the need for extension blocking splint.
Conclusion: Hook plate fixation is very useful in such circumstances and hook enables their ability to grasp the small volar lip fragment and early mobilization is possible.
Keyword: PIPJ, dorsal fracture dislocation, bone graft, mini hook plate.
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