The management of acute fracture dislocations of proximal interphalangeal joints: a systematic review.
Abstract
A systematic review was conducted to identify the best management for acute proximal interphalangeal joint fracture-dislocations. A study protocol was designed in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Due to limited data in the primary assessment, the hypothesis was tested in a secondary analysis of articles that marginally met the inclusion criteria (i.e. studies that included patients under 18 years of age). A further tertiary analysis was conducted by dividing the studies into closed reduction techniques, open reduction internal fixation and 'other studies' and a narrative synthesis was performed. The study found a higher rate of complications and arthritis in the closed reduction group compared to open reduction internal fixation, suggesting that operative management should be considered for acute PIP joint fracture-dislocations. Level of evidence: III
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Date
2020-07
Type
Article
Subject
Surgery
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Citation
J Plast Surg Hand Surg. 2020 Jul 7:1-5. doi: 10.1080/2000656X.2020.1788041. [Epub ahead of print]