1. FRACTURE-DISLOCATOCATION OF PROXIMAL INT. PHALANGEAL PIP JOINT INJURY IS THE MOST COMMON INJURY IN THE HAND.

2. Stable fracture dislocation Unstable fracture dislocation Tenuous Pilon fracture CLASSIFICATION

3. 1.EX-B. splitting 2.EX-B. pinning 3.Open reduction & internal fixation 4.Hemihamate auto G 5.Cerclage 6.Voral plate artheroplasty 7.Dynamic EX. fix Noon of these techniques have not proven to be satisfactory for all patients in all instances. TYPES OF TREATMENT

4. EX-B.SPLINT

6. EX-B. PINNING

7. DYNAMIC EXTERNAL FIXATION

13. ORIF

14. EX.FIX

17. ORIF

20. VPA

24. H.H. AUTOGRAFT

26. 1.Stiffness 2.Pain 1.Subluxation 2.O.A 3.Permanent disfunction COMPLICATIONS