Dynamic External Fixation for Unstable Fracture-Dislocations and Pilon Fractures of the Proximal Interphalangeal Joint - Juniper Publishers
Orthopedics and Rheumatology - Juniper Publishers Abstract Introduction: Several methods are used in the treatment of intra-articular proximal interphalangeal joint fractures. The purpose of this study was to evaluate the effectiveness of a simple handmade dynamic external fixator for unstable fracture-dislocations and pilon injuries of the PIP joint in an active-duty population and to investigate whether or not these patients had adequate finger movement. Materials and Methods: Eleven consecutive patients were treated with a simple dynamic external fixator between 2008 and 2014. The analysis of the results was based on the clinical, radiological, and subjective criteria judging Range of Motion of the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints, total active motion of the injured finger, and deformity. Results: The cases included 3 females and 8 males with a mean age of 34 years (range of 19-54 years). The mean follow-up