Hand-Phalanx Fracture-Dislocation (PIP Joint)
In case of fracture dislocation of proximal interphalangeal joint (PIP), the indication for surgery is a non-concentric PIP joint. If a concentric reduction can be achieved (flexing the joint), a dorsal block splint in flexion for several weeks can be advised. External fixation devices are available to maintain reduction whilst allowing early motion. If over 40–50% of the joint surface is involved, open surgery is mandatory to restore the joint congruity. We will present the ORIF technique for recent fracture and joint dislocation.
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