title: Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials.
abstract: BACKGROUND
  Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair.
  
  
  METHODS
  We treated nine patients with fracture-dislocation of the PIP joint with small fractured bone fragments too small for pinning or screw fixation. Patients with volar plate injury were treated with open reduction and volar plate repair at the periosteum of the middle phalangeal bone base by the modified Kessler method using absorbable sutures. All patients were placed in a dorsal aluminum extension block splint, which maintained the PIP joint in approximately 30 degrees of flexion to avoid excessive tension on the sutured volar plate.
  
  
  RESULTS
  At a mean final follow-up of postoperative 9 months, all patients were evaluated radiographically and had adequate alignment of the PIP joint and reduction of the displaced bone fragments. Range of motion was improved and there were no complications.
  
  
  CONCLUSIONS
  This technique is an excellent alternative to the current method of treating patients with fracture-dislocations that include small fragments that are too small for pinning or screw fixation. It is a less invasive surgical method and enables stable reduction and early exercise without noticeable complications.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea.
authors.forename: Jae Jun
authors.initials: JJ
authors.lastname: Lee
authors.forename: Hyoung Joon
authors.initials: HJ
authors.lastname: Park
authors.forename: Hyun Gon
authors.initials: HG
authors.lastname: Choi
authors.forename: Dong Hyeok
authors.initials: DH
authors.lastname: Shin
authors.forename: Ki Il
authors.initials: KI
authors.lastname: Uhm
keywords: Finger joint; Intra-articular fractures; Sutures; Volar plate
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