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Original Article 


Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries

Ekin Barış Demir, Fatih Barça, Kadir Çevik, Can Emre Baş, Egemen Ayhan.


Abstract
Objectives:
Our aim was to evaluate outcomes of surgical treatment methods (open reduction and internal fixation (ORIF), hemi-hamate arthroplasty (HHA), volar plate arthroplasty (VPA), dynamic external fixation and extension block percutaneous pinning in proximal interphalangeal (PIP) joint injuries.
Methods:
This retrospective study was conducted on 34 patients who were surgically treated for PIP joint dislocation or fracture dislocation between 2016 and 2022. Patients were grouped according to treatment method. Visual analogue scores (VAS), Quick disabilities of the arm,shoulder and hand (DASH) scores, range of motion (ROM), grip strengths and subluxation on radiographs were analyzed.
Results:
Mean age was 35.7±15.9 years. 8 patients underwent extension block percutaneous pinning, 7 patients each underwent dynamic external fixation and ORIF, and 6 patients each underwent VPA and HHA. Median Quick DASH score was 4.5 [0-10.7], median VAS was 1 [0-2], median ROM was 75° [56.3°-90°] mean grip strength difference was 4.4±7.6 kg. There were no differences between groups in Quick DASH (p=0.309), VAS (p=0.219), ROM (p=0.719), loss of grip strength (p=0.938). Subluxation was seen in 7 patients. There was no statistically significant difference between clinical results of patients with and without subluxation (p=0.892 for Quick DASH, p=0.158 for VAS, p=0.164 for ROM).
Conclusion:
Choosing appropriate surgical treatment after PIP joint injury improves clinical and functional outcomes. It should be kept in mind that application of dynamic external fixation is challenging in terms of patient comfort and re-subluxation may occur in patients who underwent VPA.

Key words: dislocation; hemi-hamate arthroplasty; proximal interphalangeal joint


 
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How to Cite this Article
Pubmed Style

Demir EB, Barca F, Cevik K, Baş CE, Ayhan E. Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries. Hand Microsurg. 2024; 13(3): 111-119. doi:10.5455/handmicrosurg.215802

Web Style

Demir EB, Barca F, Cevik K, Baş CE, Ayhan E. Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries. https://handmicrosurgeryjournal.com/?mno=215802 [Access: January 13, 2025]. doi:10.5455/handmicrosurg.215802

AMA (American Medical Association) Style

Demir EB, Barca F, Cevik K, Baş CE, Ayhan E. Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries. Hand Microsurg. 2024; 13(3): 111-119. doi:10.5455/handmicrosurg.215802


Vancouver/ICMJE Style

Demir EB, Barca F, Cevik K, Baş CE, Ayhan E. Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries. Hand Microsurg. (2024), [cited January 13, 2025]; 13(3): 111-119. doi:10.5455/handmicrosurg.215802


Harvard Style

Demir, E. B., Barca, . F., Cevik, . K., Baş, . C. E. & Ayhan, . E. (2024) Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries. Hand Microsurg, 13 (3), 111-119. doi:10.5455/handmicrosurg.215802


Turabian Style

Demir, Ekin Barış, Fatih Barca, Kadir Cevik, Can Emre Baş, and Egemen Ayhan. 2024. Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries. Hand and Microsurgery, 13 (3), 111-119. doi:10.5455/handmicrosurg.215802


Chicago Style

Demir, Ekin Barış, Fatih Barca, Kadir Cevik, Can Emre Baş, and Egemen Ayhan. "Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries." Hand and Microsurgery 13 (2024), 111-119. doi:10.5455/handmicrosurg.215802


MLA (The Modern Language Association) Style

Demir, Ekin Barış, Fatih Barca, Kadir Cevik, Can Emre Baş, and Egemen Ayhan. "Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries." Hand and Microsurgery 13.3 (2024), 111-119. Print. doi:10.5455/handmicrosurg.215802


APA (American Psychological Association) Style

Demir, E. B., Barca, . F., Cevik, . K., Baş, . C. E. & Ayhan, . E. (2024) Evaluation of Radiological and Clinical Outcomes of Five Different Surgical Methods In Proximal Interphalangeal Joint Injuries. Hand and Microsurgery, 13 (3), 111-119. doi:10.5455/handmicrosurg.215802




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    About Hand and Microsurgery

    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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