J Korean Soc Surg Hand.  2012 Sep;17(3):107-112.

External Dynamic Traction Device for Fracture of the Proximal Interphalangeal Joint of the Finger

• Song WS
• Kim WS
• Kim TH

Abstract

PURPOSE
We evaluated the results of treatment for proximal interphalangeal joint fractures using an external dynamic traction device.
MATERIALS AND METHODS
This study included nine patients with a proximal interphalangeal joint fracture. All patients were treated using an external dynamic traction device. At the mean follow-up of 10.1 months, the range of motion of the involved interphalangeal joint was measured. The clinical outcome was evaluated using Steel's scoring method.
RESULTS
The average range of motion was 95degrees (range: 75degrees-110degrees). According to Steel's scoring method, three cases showed excellent results, two cases showed good results, and four cases showed fair results.
CONCLUSION
The external dynamic traction device is useful and effective in treating proximal interphalangeal joint fractures. It enables reduction by ligamentotaxis and active and passive range of motion in the early stages of treatment.

Keyword

Finger; Proximal interphalangeal joint; Intra-articular fracture; External dynamic traction device

MeSH Terms

Fingers
Follow-Up Studies
Humans
Intra-Articular Fractures
Joints
Range of Motion, Articular
Research Design
Traction