Pins and Rubbers Traction System for Treatment of Intraarticular Fractures of Distal Interphalangeal Joint.
J Hand Surg Asian Pac Vol
; 29(3): 211-216, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38726499
ABSTRACT
Background:
The pins and rubber traction system (PRTS) has proven effective in managing intra-articular fractures of the proximal interphalangeal joint. However, there is scant evidence in the literature regarding its efficacy in treating distal interphalangeal joint (DIPJ). This study aims to investigate the outcomes of PRTS in the treatment of comminuted intra-articular fractures of the DIPJ.Methods:
We conducted a retrospective review of patients with comminuted intra-articular fractures of the DIPJ treated with PRTS between 2017 and 2021. At the final follow-up, we measured and compared the active range of motion (ROM) in both affected and non-injured contralateral fingers. The subjective evaluation utilised the Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH) questionnaire and the Visual Analogue Scale (VAS).Results:
Ten patients with a mean follow-up of 13.2 months (range 12-17) were included in the study. Fracture locations included the base of the distal phalanx in two patients, the condyle of the middle phalanx in seven and both in one patient. At the final follow-up, the average VAS score was 0.5 (range 0-2). The average active motion of the DIPJ was 61° (range 50°-70°) for the injured side and 76° (range 75°-80°) for the opposite side. The mean range of DIPJ movement was 80% (range 68%-87%) of the non-injured side. Extension deficits were observed in five patients, with a median deficit value of 10° (range 5°-10°). The average Quick-DASH score was 2.9 (range 0-11.3).Conclusions:
The PRTS can be considered as an effective surgical technique in managing comminuted intra-articular fractures of the DIPJ. Level of Evidence Level IV (Therapeutic).Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tracción
/
Rango del Movimiento Articular
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Fracturas Conminutas
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Fracturas Intraarticulares
/
Articulaciones de los Dedos
Límite:
Adult
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Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Hand Surg Asian Pac Vol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Turquía
Pais de publicación:
Singapur