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KMID : 0386420190320040222
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Journal of the Korean Fracture Society
2019 Volume.32 No. 4 p.222 ~ p.226
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Treatment of Neglected Proximal Interphalangeal Fracture Dislocation Using a Traction Device: A Case Report
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Cho Yong-Un
Park Jai-Hyung
Park Se-Jin
Lee In-Gyu
Kim Eu-Gene
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Abstract
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This paper reports the use of a traction device for the treatment of neglected proximal interphalangeal fracture dislocations. A 44-year-old man with a fracture dislocation of a right ring finger proximal interphalangeal joint was admitted 17 days after the injury. Closed reduction and external fixation were performed using a dynamic traction device and C-arm under a brachial plexus block. Passive range of motion exercise was started after two weeks postoperatively and active range of motion exercise was started after three weeks. The traction device was removed after five weeks. No infection occurred during the traction period. No subluxation or displacement was observed on the X-ray taken two months postoperatively. The active range of motion of the proximal interphalangeal joint was 90°. The patient was satisfied with the functional result of the treatment with the traction device. The dynamic traction device is an effective treatment for neglected fracture dislocations of the proximal interphalangeal joint of a finger.
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KEYWORD
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Proximal interphalangeal joint, Fracture dislocation, Dynamic, External fixators
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