A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults
Background: Failure to appropriately address intra-articular fractures of the proximal interphalangeal (PIP) joint may result in enduring pain, stiffness, and post-traumatic arthritis. Our approach employs a straightforward and economical method of creating a static traction splint using an aluminum...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-04-01
|
| Series: | MGM Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/mgmj.mgmj_110_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832586531007627264 |
|---|---|
| author | Ameya H. Velankar Ashok M. Ghodke Sanjeev Kumar Singh |
| author_facet | Ameya H. Velankar Ashok M. Ghodke Sanjeev Kumar Singh |
| author_sort | Ameya H. Velankar |
| collection | DOAJ |
| description | Background: Failure to appropriately address intra-articular fractures of the proximal interphalangeal (PIP) joint may result in enduring pain, stiffness, and post-traumatic arthritis. Our approach employs a straightforward and economical method of creating a static traction splint using an aluminum splint. This splint is removed after 2 weeks, followed by the initiation of early mobilization. Materials and Methods: A flexible aluminum splint is placed on the injured finger. A polypropylene suture passes through the nail and is tied to the splint for sustained traction, and the finger is immobilized for 2 weeks. After this period, the splint is removed, and active assisted finger mobilization begins. Patients are assessed post-surgery using the Ishida score. Results: This study involved 30 treated patients, with a mean age of 31.47 ± 11.11 years, ranging from 18 to 69 years. Among them, 26 were male and 4 were female, with 20 experiencing right-side involvement. Sports-related injuries were reported in 17 cases, followed by road traffic accidents in 7 cases and slips in 6 cases. The mean range of motion, measured in degrees, was 83.3 ± 0.22. Overall, the patients achieved excellent results. Conclusion: Utilizing static traction for intra-articular PIP joint fractures is a safe, relatively straightforward, and cost-effective method with minimal complications. This approach guarantees anatomical joint alignment, promotes favorable fracture healing, and facilitates early mobilization, leading to a swift and satisfactory recovery. |
| format | Article |
| id | doaj-art-b9d33af1e56349ac843c1f33dc14d7cb |
| institution | Kabale University |
| issn | 2347-7946 2347-7962 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | MGM Journal of Medical Sciences |
| spelling | doaj-art-b9d33af1e56349ac843c1f33dc14d7cb2025-01-25T10:19:23ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-04-0111220120810.4103/mgmj.mgmj_110_24A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adultsAmeya H. VelankarAshok M. GhodkeSanjeev Kumar SinghBackground: Failure to appropriately address intra-articular fractures of the proximal interphalangeal (PIP) joint may result in enduring pain, stiffness, and post-traumatic arthritis. Our approach employs a straightforward and economical method of creating a static traction splint using an aluminum splint. This splint is removed after 2 weeks, followed by the initiation of early mobilization. Materials and Methods: A flexible aluminum splint is placed on the injured finger. A polypropylene suture passes through the nail and is tied to the splint for sustained traction, and the finger is immobilized for 2 weeks. After this period, the splint is removed, and active assisted finger mobilization begins. Patients are assessed post-surgery using the Ishida score. Results: This study involved 30 treated patients, with a mean age of 31.47 ± 11.11 years, ranging from 18 to 69 years. Among them, 26 were male and 4 were female, with 20 experiencing right-side involvement. Sports-related injuries were reported in 17 cases, followed by road traffic accidents in 7 cases and slips in 6 cases. The mean range of motion, measured in degrees, was 83.3 ± 0.22. Overall, the patients achieved excellent results. Conclusion: Utilizing static traction for intra-articular PIP joint fractures is a safe, relatively straightforward, and cost-effective method with minimal complications. This approach guarantees anatomical joint alignment, promotes favorable fracture healing, and facilitates early mobilization, leading to a swift and satisfactory recovery.https://doi.org/10.4103/mgmj.mgmj_110_24aluminum splintdislocationearly mobilizationfracturesproximal interphalangeal jointstatic traction |
| spellingShingle | Ameya H. Velankar Ashok M. Ghodke Sanjeev Kumar Singh A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults MGM Journal of Medical Sciences aluminum splint dislocation early mobilization fractures proximal interphalangeal joint static traction |
| title | A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults |
| title_full | A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults |
| title_fullStr | A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults |
| title_full_unstemmed | A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults |
| title_short | A prospective study of functional outcome of treatment of intra-articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults |
| title_sort | prospective study of functional outcome of treatment of intra articular fracture of proximal interphalangeal joint by static traction and early mobilization in adults |
| topic | aluminum splint dislocation early mobilization fractures proximal interphalangeal joint static traction |
| url | https://doi.org/10.4103/mgmj.mgmj_110_24 |
| work_keys_str_mv | AT ameyahvelankar aprospectivestudyoffunctionaloutcomeoftreatmentofintraarticularfractureofproximalinterphalangealjointbystatictractionandearlymobilizationinadults AT ashokmghodke aprospectivestudyoffunctionaloutcomeoftreatmentofintraarticularfractureofproximalinterphalangealjointbystatictractionandearlymobilizationinadults AT sanjeevkumarsingh aprospectivestudyoffunctionaloutcomeoftreatmentofintraarticularfractureofproximalinterphalangealjointbystatictractionandearlymobilizationinadults AT ameyahvelankar prospectivestudyoffunctionaloutcomeoftreatmentofintraarticularfractureofproximalinterphalangealjointbystatictractionandearlymobilizationinadults AT ashokmghodke prospectivestudyoffunctionaloutcomeoftreatmentofintraarticularfractureofproximalinterphalangealjointbystatictractionandearlymobilizationinadults AT sanjeevkumarsingh prospectivestudyoffunctionaloutcomeoftreatmentofintraarticularfractureofproximalinterphalangealjointbystatictractionandearlymobilizationinadults |