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ISSN 2063-5346
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Management of closed intra-articular fracture/fracture dislocations at proximal interphalangeal joint of fingers using simple traction frame device

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Vishal Bhagwan Patil, Kunal Hemchand Dhurve, Ketankumar Lalitkumar Gandhi
» doi: 10.48047/ecb/2023.12.1.376

Abstract

Management of complex proximal interphalangeal joint (PIPJ) fracture dislocations is challenging, with the potential of long-term sequelae including pain, stiffness, and functional loss. Present study was aimed to study management of closed intra-articular fracture / fracture dislocations at proximal interphalangeal joint of fingers using simple traction frame device. Material and Methods: Present study was hospital based, prospective, observational study, conducted in patients of closed intra-articular fracture /fracture dislocation at PIP joint of finger, who were managed with traction frame device. Results: Among 30 patients, 27 (90 %) male. Majority were of less than 24 years age group (76.67 %). Majority patients (70%) had pre-op range of motion at PIP joint upto 300. Majority patients (86.67 %) had fracture of base of middle phalynx. These patients with fracture base of middle phalynx were having dorsal subluxation at PIP joint and remaining 4 patients involving fracture head of proximal phalynx were having volar dislocation at PIP joint (13.33 %). We have treated 26 patients with traction device and in remaining 4 patients involving fracture of head of proximal phalynx additional limited ORIF was done. Complications observed were malunion (20 %), residual pain (16.67 %), pintrack infection (6.67 %) & deformity (6.67 %). In our study, in 76.67 % of patients we able to achieve movement 60 degree & above comparing with the normal same finger of opposite site. Majority patients were satisfied with treatment given (83.33 %). In our study, according to functional outcome, 5 patients (16.67 %) achieved excellent results, 15 patients (50 %) achieved good results. In remaining patients results were fair (20 %) & poor (13.33 %). Conclusion: Use of simple traction frame device in management of closed intra-articular fracture/fracture dislocations at proximal interphalangeal joint of fingers was found to be a safe and applicable technique.

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