Document Detail

Surgical outcome of volar plate arthroplasty of the proximal interphalangeal joint using the Mitek micro GII suture anchor.
MedLine Citation:
PMID:  18580519     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The mechanism of injury in dorsal dislocation is usually a hyperextensive stress simultaneous with some degree of longitudinal compression. Operative treatment is indicated for those unstable and reduction is not achieved. We report the surgical outcome of volar plate arthroplasty of the proximal interphalangeal (PIP) joint using the Mitek Micro GII suture anchor. METHODS: We reviewed the medical records of 20 patients with acute or chronic dorsal dislocation or subluxation of the PIP joint who were managed using the Mitek Micro GII suture anchor over the past 5 years by the same surgeon (J.T.S.). Fourteen patients had acute injuries (<4 weeks before surgery) and six patients had chronic injuries (average interval of 4.1 week from injury to surgery; range, 1-8 weeks). The patients had persistent pain and loss of range of motion after trauma, and the reductions were still unstable. RESULTS: All patients were evaluated an average of 25 months postoperatively (range, 12-30 months). The average arc of motion of the PIP joints of the fingers was 82 degrees . There were no obvious perioperative complications, and no patient reported pain at rest or with activity. CONCLUSION: Volar plate arthroplasty using the Mitek Micro GII suture anchor is an effective treatment choice for acute or chronic PIP joint dorsal dislocation or subluxation.
Lueng-Shing Lee; Hung-Maan Lee; Yao-Tung Hou; Sheng-Tsai Hung; Jung-Kuei Chen; Jui-Tien Shih
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  65     ISSN:  1529-8809     ISO Abbreviation:  J Trauma     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-11     Completed Date:  2008-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  116-22     Citation Subset:  AIM; IM    
Department of Orthopedic Surgery, Taoyuan Armed Force General Hospital, Taiwan, Republic of China.
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MeSH Terms
Arthroplasty / instrumentation*
Cohort Studies
Dislocations / physiopathology,  radiography,  surgery*
Finger Joint*
Middle Aged
Patient Satisfaction
Range of Motion, Articular
Recovery of Function
Retrospective Studies
Suture Anchors*
Treatment Outcome
Volar Plate*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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