Volar plate avulsion fracture alone or concomitant with collateral ligament rupture of the proximal interphalangeal joint: A comparison of surgical outcomes

Kim, Yong Woo; Roh, Si Young; Kim, Jin Soo; Lee, Dong Chul; Lee, Kyung Jin

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자료유형: 학술저널

저자정보: Kim, Yong Woo (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Roh, Si Young (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Lee, Kyung Jin (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제5호

발행연도: 2018.1

수록면: 458 - 465 (8page)

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Background Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. In this study, we divided patients into two groups: patients with pure volar plate avulsion fracture, and patients with volar plate avulsion fracture concomitant with collateral ligament rupture. The purpose of this study was to compare long-term surgical outcomes between the two groups. As a secondary measure, the Mitek bone anchoring and polydioxanone (PDS) bone suturing techniques were compared. Methods A single-institutional retrospective review of the surgical treatment of volar plate avulsion fracture was performed. The cases were divided into those with pure volar plate avulsion fracture (group A, n=15) and those with volar plate avulsion fracture concomitant with collateral ligament rupture (group B, n=15). Both groups underwent volar plate reattachment using Mitek bone anchoring or PDS bone suturing followed by 2 weeks of immobilization in a dorsal protective splint. Results The average range of motion of the PIP joint and extension lag were significantly more favorable in group A (P<0.05). Differences in age; follow-up period; flexion function; visual analog scale scores; disabilities of the arm, shoulder, and hand scores; and the grip strength ratio between the two groups were non-significant. No significant differences were found in the surgical outcomes of Mitek bone anchoring and PDS bone suturing in group A. Conclusions Overall, the surgical outcomes of volar plate reattachment were successful irrespective of whether the collateral ligaments were torn. However, greater extension lag was observed in cases of collateral ligament injury.

#Finger joint #Joint dislocations #Fractures, avulsion #Suture anchors #Range of motion, articular

참고문헌 (15)

참고문헌 신청

Merrell G / 2016 / Green’s operative hand surgery / Elsevier :278~291

Gaine WJ / 1998 / Early active mobilisation of volar plate avulsion fractures / Injury 29:589~591

Werlinrud JC / 2013 / A prospective randomized study of conservative versus surgical treatment of unstable palmar plate disruption in the proximal interphalangeal finger joint / Strategies Trauma Limb Reconstr 8:21~24

Dionysian E / 2000 / The long-term outcome of volar plate arthroplasty of the proximal interphalangeal joint / J Hand Surg Am 25:429~437

Lee S / 2013 / Operative treatment for volar plate avulsion fractures of the fingers / Arch Orthop Trauma Surg 133:1463~1467

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