Treatment for Acute Proximal Interphalangeal Joint Fractures and Fracture-Dislocations: A Systematic Review of the Literature.

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Abstract

Conflict of interest statement: Conflict of Interest J.T.C. reports personal fees from Axogen and Skeletal Dynamics outside the submitted work. 8. J Hand Surg Am. 2024 Aug;49(8):799.e1-799.e6. doi: 10.1016/j.jhsa.2022.10.009. Epub 2022 Nov 9. Miniplate and K-Wire Fixation for Type Vb Jersey Finger: A Case Series of Nine Patients. Li B(1), Yang Y(2), Li F(1), Huang X(1), Cao M(1), Yin Y(1). Author information: (1)Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, People's Republic of China. (2)Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, People's Republic of China. Electronic address: 0414yang@sina.com. PURPOSE: The aim of this study was to present the results of plate and K-wire fixation for type Vb jersey finger. METHODS: We used a miniplate system combined with a K-wire to treat nine cases of acute type Vb jersey finger injury. The fracture healing time, functional outcomes, and complications were assessed. RESULTS: The follow-up time ranged from 13 to 44 months. All fractures healed within 7 weeks. The mean active range of motion was 70.6° (60° to 80°) for the distal interphalangeal joint and 105° (100° to 110°) for the proximal interphalangeal joint. All affected fingers were able to move actively with no pain, and there was no nail deformity. Two patients with the longest radiographic follow-up showed a congruent joint surface with no degenerative change at 44 months. CONCLUSIONS: Miniplate and K-wire fixation offers adequate fixation strength for the early initiation of active exercises so that a good functional result can be achieved. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic V. Copyright © 2024 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jhsa.2022.10.009