title: [Impact of soft tissue injury on results after osteosynthesis of intraarticular fractures of the base of the middle phalanx of the finger].
abstract: BACKGROUND
  The aim of this study was to investigate retrospectively if soft tissue injuries have an impact on the functional results of surgically treated intra-articular fractures of the base of the middle phalanx.
  
  
  METHODS
  From 1/2007 to 4/2010 we operated on 27 patients with intra-articular fractures of the base of the middle phalanx with pins, screws or external fixation analogous to Suzuki. 5 patients were excluded. 13 patients had no significant soft tissue injury (kWTV group), 9 patients had significant soft tissue damage including open fractures, skin lesions or/and severe soft tissue swelling (WTV group). Postoperative function and complications were analysed based on total active range of motion (TAM) and range of motion of the proximal interphalangeal joint (PIP-ROM) with regard to the Larsen score and clinical data.
  
  
  RESULTS
  Fractures with soft tissue injuries had a significantly worse TAM outcome (p=0.04) than fractures without soft tissue injury (kWTV group: TAM 197.1°; WTV group TAM 231.2°) even if the functional results regarding the Larsen classification were excellent or good in both groups (kWTV 100%, WTV 88.9%). There were no significant differences regarding PIP-ROM of both groups.
  
  
  CONCLUSIONS
  Soft tissue injuries have a negative impact on the functional results of surgical treated intra-articular fractures of the base of the middle phalanx. The influence on PIP-ROM might be less. Other factors might play a considerable role for PIP-ROM. With an adequate operative treatment most intra-articular middle phalanx fractures show good to excellent functional -results.
authors.affiliation: Hand- und Plastische Chirurgie, Kantonsspital Winterthur, Winterthur, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Schoke
authors.affiliation: Hand- und Plastische Chirurgie, Kantonsspital Winterthur, Winterthur, Switzerland.
authors.forename: J
authors.initials: J
authors.lastname: Sproedt
authors.affiliation: Hand- und Plastische Chirurgie, Kantonsspital Winterthur, Winterthur, Switzerland.
authors.forename: A R
authors.initials: AR
authors.lastname: Jandali
authors.affiliation: Hand und Plastische Chirurgie, Universitätsspital Zürich, Zürich, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Calcagni
mesh_terms: D000328:Adult; D000368:Aged; D001858:Bone Nails; D001863:Bone Screws; D016267:External Fixators; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D050278:Finger Phalanges / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D017695:Soft Tissue Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult