Article

A multicenter and retrospective study of 88 casesLigamentotaxis is now a well-established treatment method for proximal
interphalangeal (PIP) joint fractures.
Despite satisfactory results, the
technique is considered complex and the devices cumbersome. The aim of this study
was to evaluate a miniaturized dynamic external fixator (Ligamentotaxor((R))) for
the management of these fractures. Eighty-six patients with 88 fractures of the
PIP joint were treated at 10 European hand surgery centers. The device was
applied within eight days of the injury and was removed 40-45 days after the
injury. Treatment complications included superficial infection
(4 cases),
osteoarthritis (1 case), and localized but resolving complex regional pain
syndrome (4 cases). The fracture healed in all cases.
At final follow-up (mean:
15.2 months), average range of motion was 70 degrees (range: 0-110 degrees ).
Functional results were comparable between the 10 participating centers. Pain
occurred upon exertion in 47% of the patients, 40% were sensitive to weather
changes and 26% experienced constant pain. The mean QuickDASH score was 15.7
(range: 11-37) and 83.7% of the patients had no limitations during their daily
activities. The results of this series are similar to those reported in other
studies of PIP fracture treatment with external fixators.
This technique is
reliable and reproducible.
The device is easy to handle by surgeons and well
tolerated by patients. We think that this simple, reliable technique could be
relevant for the management of PIP joint fractures.
CI - Copyright (c) 2015 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS