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RISS 인기검색어
- 검색키워드
- 저자 : Kenneth Michael Joyce (검색결과 2 건)
- 무료
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Proximal Interphalangeal Joint Dislocations and Treatment: An Evolutionary Process
Joyce, Kenneth Michael,Joyce, Cormac Weekes,Conroy, Frank,Chan, Jeff,Buckley, Emily,Carroll, Sean Michael Korean Society of Plastic and Reconstructive Surge 2014 Archives of Plastic Surgery Vol.41 No.4
Background Proximal interphalangeal joint (PIPJ) dislocations represent a significant proportion of hand clinic visits and typically require frequent follow-ups for clinical assessment, orthotic adjustments, and physiotherapy. There are a large number of treatment options available for PIPJ dislocations, yet no prospective or controlled studies have been carried out, largely due to the diversity of the various types of injuries. Methods We retrospectively reviewed all the PIPJ dislocations in our institution over a five-year period and directly compared the different splinting techniques that we have used over this time frame. Results There were a total of 77 dislocations of the PIPJ (57 men and 20 women) that were included in our study. We found that our management has shifted gradually from complete immobilisation to controlled early mobilisation with figure-of-eight splints. Following treatment, the range of motion of the PIPJ in the figure-of-eight group was significantly greater than that in the other three methods (P<0.05) used. There were significantly fewer hospital visits in the figure-of-eight splint group than in the other treatment groups. Conclusions The treatment of PIPJ dislocations has undergone a significant evolution in our experience. Early controlled mobilisation has become increasingly important, and therefore, splints have had to be adapted to allow for this. The figure-of-eight splint has yielded excellent results in our experience. It should be considered for all PIPJ dislocations, but careful patient selection is required to achieve optimum results.
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Proximal Interphalangeal Joint Dislocations and Treatment: An Evolutionary Process
Kenneth Michael Joyce,Cormac Weekes Joyce,Frank Conroy,Jeff Chan,Emily Buckley,Sean Michael Carroll 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.4
Background: Proximal interphalangeal joint (PIPJ) dislocations represent a significantproportion of hand clinic visits and typically require frequent follow-ups for clinical assessment,orthotic adjustments, and physiotherapy. There are a large number of treatmentoptions available for PIPJ dislocations, yet no prospective or controlled studies have beencarried out, largely due to the diversity of the various types of injuries. Methods: We retrospectively reviewed all the PIPJ dislocations in our institution over a fiveyearperiod and directly compared the different splinting techniques that we have used overthis time frame. Results: There were a total of 77 dislocations of the PIPJ (57 men and 20 women) that wereincluded in our study. We found that our management has shifted gradually from completeimmobilisation to controlled early mobilisation with figure-of-eight splints. Followingtreatment, the range of motion of the PIPJ in the figure-of-eight group was significantlygreater than that in the other three methods (P<0.05) used. There were significantly fewerhospital visits in the figure-of-eight splint group than in the other treatment groups. Conclusions: The treatment of PIPJ dislocations has undergone a significant evolution in ourexperience. Early controlled mobilisation has become increasingly important, and therefore,splints have had to be adapted to allow for this. The figure-of-eight splint has yielded excellentresults in our experience. It should be considered for all PIPJ dislocations, but careful patientselection is required to achieve optimum results.
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