Treatment of Acute Proximal Interphalangeal Joint Palmar Plate Injury by Bone Channel Suture
Abstract
Objective: Objective: To explore the surgical efect of suture through bone canal in the treatment of reconstruction of acute prox-imal interphalangeal joint metacarpal anchorage. Methods From July 2018 to August 2021, we retrospectively analyzed 9 cases of avulsion of metacarpal plate near interphalangeal joint, including 7 males and 2 females, aged 17-40 years, with an average of 34 years. There were 4 cases of index fnger, 3 cases of middle fnger and 2 cases of ring fnger. Early fexion and extension exercises were performed after opera-tion. The last follow-up included the range of motion of the proximal interphalangeal joint and joint pain. Results All patients were followed up (4-12 months) after operation.According to the TAM method, 7 cases were excellent and 2 cases were good. Conclusion Transosseous su-ture for acute proximal interphalangeal joint metacarpal reconstruction has the advantages of simple operation, safety, frm fxation and rapid postoperative recovery.
References
[1] Cheriyan T, Neuhaus V, Mudgal CS. Bony avulsion injury of flexor digitorum profundus- description of a new subtype [J]. J Hand
Surg Eur Vol, 2013, 38(1): 91-92.
[2] Wolfe SW, Hotchkiss RN, Pederson WC. Green Hand Surgery [M]. Guanglei Tian, Xieyuan Jiang, Shanlin Chen, et al. Trans. Bei_x005fjing: Peking University Medical Press, 2022: 287.
[3] Bowers WH, Wolf JW Jr, Nehil JL, et al.The proximal interphalangeal joint volar plate.I.An anatomical and biomechanical
study[J]. J Hand Surg Am,1980, 5(1): 79-88.
[4] Eaton RG. Joint injuries of the hang[M]. Springfield: Thomas, 1971:9-39.
[5] Adi M, Hidalgo Diaz JJ, Salazar Botero S, et al. Results of conservative treatment of volar plate sprains of the proximal interphalangeal joint with and without avulsion fracture[J]. Hand Surg Rehabil,2017,36(1):44-47.
[6] Stanley EA, Seifman MA, Mills B, Fay P, Thomas DJ. Dorsal Block Splinting of Volar Plate Injuries at Neutral Position. Ann Plast
Surg. 2019 May;82(5):520-522.
[7] Paschos NK, Abuhemoud K, Gantsos A, Mitsionis GI, Georgoulis AD. Management of proximal interphalangeal joint hyperextension injuries: a randomized controlled trial. J Hand Surg Am. 2014 Mar; 39(3): 449-54.
[8] Lee S, Jang SJ, Jeon SH. Factors Related to Failure of Conservative Treatment in Volar Plate Avulsion Fractures of the Proximal
Interphalangeal Joint[J].Clin Orthop Surg, 2020,12(3):379-385.
[9] Niu AQ, Wang YJ, Wang J, et al. Analysis of 21 cases of avulsion fracture of proximal interphalangeal joint with tension band wire
fixation [J]. Modern practical medicine, 2016, 28 (10): 1289-1290.
[10]Zheng HY, Liu J, Hong GX, et al. Treatment of chronic avulsion injury of palmar plate of proximal interphalangeal joint with micro bone anchor[J]. Orthopaedics, 2012, 3(1):4-6.
[11]Wang K, Ju JH, Jin GZ, et al. Reconstruction of avulsion injury of palmar plate of proximal interphalangeal joint by microanchoring [J]. Chinese Journal of Hand Surgery, 2019, 35(4): 267-269.
Authors submitting to USP journals agree to publish their manuscript under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0) where authors agree to allow third parties to share their work (copy, distribute, transmit) and to adapt it, under the condition that the authors are given credit, and that in the event of reuse or distribution, the terms of this license are made clear
Authors retain copyright of their work, with first publication rights (online and print) granted to Universe Scientific Publishing or the owner of the journal in question.