Dynamic external fixator for pilon fractures of the proximal interphalangeal joints: a simple fixator for a complex fracture. Dynamic external fixation for pilon fractures of the interphalangeal joints. The pins and rubbers traction system for treatment of comminuted intraarticular fractures and fracture-dislocations in the hand. Proximal interphalangeal joint dislocations and treatment: an evolutionary process. Joyce KM, Joyce CW, Conroy F, Chan J, Buckley E, Carroll SM. The physiologic basis of continuous passive motion for articular cartilage healing and regeneration. Dynamic digital traction for unstable comminuted intra-articular fracture-dislocations of the proximal interphalangeal joint. Morgan JP, Gordon DA, Klug MS, Perry PE, Barre PS. Pilon fractures of the proximal interphalangeal joint. Stern PJ, Roman RD, Kiefhaber TR, McDonough JJ. Fractures of the proximal interphalangeal joints of the fingers. Fracture-dislocations of the proximal interphalangeal joint. Management of difficult intra-articular fracture or fracture dislocations of the proximal interphalangeal joint. Liodaki E, Xing SG, Mailaender P, Stang F. Fracture dislocations of the proximal interphalangeal joint. Classification, management and long-term results. Fractures of the base of the middle phalanx of the finger. Seno N, Hashizue H, Inoue H, Imatani J, Morito Y. Current concepts in treatment of fracture-dislocations of the proximal interphalangeal joint. Management of proximal interphalangeal joint injuries. Fracture dislocation about the finger joints. Proximal interphalangeal joint fracture dislocations. Anatomy of the proximal interphalangeal joint. Proximal interphalangeal joint fracture dislocations: stable and unstable. Fracture dislocation of the finger joints. A percutaneous technique to treat unstable dorsal fracture-dislocation of the proximal interphalangeal joint. External fixation of proximal interphalangeal joint fracture-dislocations. This case suggests that surgeons become familiar with multiple treatment techniques for these injuries and be flexible in combining these techniques as required for individual fracture patterns. By combining traction with direct reduction and fixation, satisfactory reduction of the joint was achieved, and the result was functional range of motion of the joint with minimal discomfort. This chapter presents the case of a proximal interphalangeal joint pilon fracture that was treated with dynamic external fixation, limited open reduction and internal fixation, and extension block pinning. The goals for surgical treatment of these injuries are to create a stable, congruent joint with fixation that allows early motion as the fracture heals. Proximal interphalangeal joint pilon fractures are unstable injuries with the potential sequelae of joint pain and stiffness.
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