Treatment of fracture subluxations of the proximal interphalangeal joint using a ligamentotaxis device: a multidisciplinary approach. (October 2015)

• Record Type: Journal Article
• Authors: MacFarlane, R. J.; Gillespie, S.; Cashin, F.; Mahmood, A.; Cheung, G.; Brown, D. J.
• Is Part Of: Journal of hand surgery. Volume 40:Number 8(2015:Oct.)
• Page Start: 825
• Page End: 831
• Publication Date: 2015-10
• Subjects: Ligamentotaxis -- proximal interphalangeal joint -- fracture -- subluxation -- multidisciplinary; 617.575059
• DOI: 10.1177/1753193415578305
• Languages: English
• ISSNs: 1753-1934

Abstract

Complex fracture subluxations of the proximal interphalangeal joint are often difficult to treat and their outcome variable. A number of methods for treatment of these injuries have been described. We have used a ligamentotaxis device ( Ligamentotaxor, Arex, Palaiseau Cedex, France) since 2008. We performed 28 operations in 28 patients with complex proximal interphalangeal joint injuries over a 3-year period. Patients followed a standardized postoperative rehabilitation regime, including fixator adjustment as necessary. The mean age was 33 years (range 18–67). The mean time to surgery was 7 days. At final follow-up (mean 22 months, range 6–52) the mean proximal interphalangeal joint range of motion was 85° (range 60°–110°). The mean QuickDASH functional outcome score was 4.8 (range 0–36.4). Our results compare favourably with other devices reported in the literature.