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Treatment of Neglected Proximal Interphalangeal Fracture Dislocation Using a Traction Device: A Case Report

대한골절학회지 2019년 32권 4호 p.222 ~ 226
조용운, 박재형, 박세진, 이인규, 김유진,
소속 상세정보
조용운 ( Cho Yong-Un ) - Konkuk University School of Medicine Department of Orthopaedic Surgery
박재형 ( Park Jai-Hyung ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Orthopedic Surgery
박세진 ( Park Se-Jin ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Orthopedic Surgery
이인규 ( Lee In-Gyu ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Orthopedic Surgery
김유진 ( Kim Eu-Gene ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Orthopedic Surgery

Abstract


This paper reports the use of a traction device for the treatment of neglected proximal interphalangeal fracture dislocations. A 44-year-old man with a fracture dislocation of a right ring finger proximal interphalangeal joint was admitted 17 days after the injury. Closed reduction and external fixation were performed using a dynamic traction device and C-arm under a brachial plexus block. Passive range of motion exercise was started after two weeks postoperatively and active range of motion exercise was started after three weeks. The traction device was removed after five weeks. No infection occurred during the traction period. No subluxation or displacement was observed on the X-ray taken two months postoperatively. The active range of motion of the proximal interphalangeal joint was 90°. The patient was satisfied with the functional result of the treatment with the traction device. The dynamic traction device is an effective treatment for neglected fracture dislocations of the proximal interphalangeal joint of a finger.

키워드

Proximal interphalangeal joint; Fracture dislocation; Dynamic; External fixators

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