UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Management of intra-articular fractures of the proximal interphalangeal joint by internal fixation and bone grafting.

Khan, W; Agarwal, M; Muir, L; (2004) Management of intra-articular fractures of the proximal interphalangeal joint by internal fixation and bone grafting. Arch Orthop Trauma Surg , 124 (10) pp. 688-691. 10.1007/s00402-004-0758-2.

Full text not available from this repository.

Abstract

INTRODUCTION: Intra-articular fractures of the proximal interphalangeal joint are usually treated by one of many methods of external fixation, but this does not restore the articular surface. We describe a procedure where bone grafting and internal fixation are used to restore the articular surface. PATIENTS AND METHODS: A prospective study was conducted in which three patients underwent surgical treatment for this fracture. We describe a surgical procedure where bone graft harvested from the distal radius is packed through a diaphyseal window to restore the articular surface. This is followed by internal fixation with mini-screws. RESULTS: The average follow-up was 61 months. At last follow-up the average arc of movement of the proximal interphalangeal joint was 100 deg and the average Disability of the Arm, Shoulder and Hand (DASH) Score was 2. Postoperative radiographs showed restoration of the articular contour in all three patients. CONCLUSION: The surgical technique described addresses the issues of restoration of the articular surface and permits early mobilisation. The results for our group are excellent and compare favourably with those achieved using external fixators described in the literature.

Type: Article
Title: Management of intra-articular fractures of the proximal interphalangeal joint by internal fixation and bone grafting.
Location: Germany
DOI: 10.1007/s00402-004-0758-2
Keywords: Adult, Bone Screws, Bone Transplantation, Finger Injuries, Finger Joint, Fracture Fixation, Internal, Fractures, Bone, Humans, Male
UCL classification: UCL > School of Life and Medical Sciences
UCL > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)
URI: http://discovery.ucl.ac.uk/id/eprint/1353431
Downloads since deposit
0Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item