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

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Presentation transcript:

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

Stable fracture dislocation Unstable fracture dislocation Tenuous Pilon fracture CLASSIFICATION

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

EX-B.SPLINT

EX-B. PINNING

DYNAMIC EXTERNAL FIXATION

ORIF

EX.FIX

ORIF

VPA

H.H. AUTOGRAFT

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