title: Modified proximal interphalangeal joint palmar plate arthroplasty after fracture dislocation: a case report.
abstract: We present the results of treatment of a neglected fracture of the base of the middle phalanx of the ring finger, with dorsal proximal interphalangeal joint dislocation. A modified palmar plate arthroplasty technique was used with the removal of bony remnants and non-anatomic palmar plate insertion to the fracture site. At one-year follow-up the patient showed excellent recovery with an active range of motion of the ring finger of 290° (93% of the other side), strong total grip (48 kg) and a quick DASH score of 11. X-ray images showed perfect re-building of the palmar lip of the base of the middle phalanx with no signs of arthritis. Other options for the treatment of acute and chronic PIP joint fracture dislocations are discussed.
authors.affiliation: Department of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland.
authors.forename: B
authors.initials: B
authors.lastname: Piotuch
authors.affiliation: Department of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland.
authors.forename: P
authors.initials: P
authors.lastname: Puchalski
authors.affiliation: Department of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Zyluk
mesh_terms: D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D001265:Athletic Injuries / Q000175:diagnosis / Q000601:surgery*; D057210:Delayed Diagnosis; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery*; D005384:Finger Joint / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D057072:Intra-Articular Fractures / Q000175:diagnosis / Q000601:surgery*; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D053401:Palmar Plate / Q000601:surgery*