ORIF with Screw Fixation
Open reduction and internal fixation is an option for treatment of PIP fracture-dislocations. The technique typically involves an open volar approach with placement of one or two 1.1–1.5 mm screws. This allows for restoration of the volar lip of the middle phalanx, which is the bony buttress to dorsal subluxation. The goal of fixation is to achieve a congruent joint and sufficient stability to allow for immediate active range of motion.
KeywordsProximal interphalangeal joint Fracture-dislocation of proximal interphalangeal joint Open reduction internal fixation Mini-screw Dislocation
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