Percutaneous pinning of the displaced volar plate avulsion fracture of the PIP joint.
The use of operative or non-operative techniques in the treatment of a volar plate avulsion fracture of the PIP joint has remained controversial. In this study, we describe the use of percutaneous K-wire fixation in 15 patients with a displaced and rotated large fragment of this injury. All processes of the technique, including reduction and interfragmental fixation, were performed with percutaneous K-wires. Mean follow-up was 14.2 months. All patients achieved bony union. Mean active motion was -1.3 degrees /86.2 degrees for the PIP joint and 0 degrees /77.5 degrees for the DIP joint and mean %TAIM was 94.6%. There were no complications. No patients complained of pain and all were able to return to their previous activity. Although this procedure is technically demanding, it reconstructs a rotated or displaced large volar plate avulsion with a low level of invasion, and achieves a satisfactory functional recovery.
Department of Orthopaedic Surgery, Tokai University Hachioji Hospital, Tokyo, Japan. ikeda.masayoshi@hachioji-hosp.tokai.ac.jp
Masayoshi
M
Ikeda
Takayuki
T
Ishii
Yuka
Y
Kobayashi
Joji
J
Mochida
Ikuo
I
Saito
Yoshinori
Y
Oka
D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D053401:Palmar Plate / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013165:Splints; D055815:Young Adult