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Hand-Phalanx Fracture-Dislocation (PIP Joint)

  • Laurent Obert
  • Margaux Delord
  • Gauthier Menu
  • Damien Feuvrier
  • Isabelle Pluvy
  • Francois Loisel
Chapter

Abstract

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.

References

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    De Haseth KB, Ring D. Management of finger fractures. In: Bhandari M, editor. Evidence-based orthopedics. Hoboken, NJ: Wiley-Blackwell; 2012. p. 987–92.Google Scholar
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    Oak N, Lawton JN. Intra articular fractures of the hand. Hand Clin. 2013;29:535–49.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Laurent Obert
    • 1
  • Margaux Delord
    • 1
  • Gauthier Menu
    • 1
  • Damien Feuvrier
    • 1
  • Isabelle Pluvy
    • 1
  • Francois Loisel
    • 1
  1. 1.Orthopedic, Traumatology, and Hand Surgery UnitUniversity Hospital CHRU Besancon, Medical School, University of Bourgogne - Franche Comte, Research Unit: Nano MedicineBesanconFrance

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