Palmar Plate

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S K Y Tham - One of the best experts on this subject based on the ideXlab platform.

  • internal fixation of unstable fracture dislocations of the proximal interphalangeal joint
    Journal of Hand Surgery (European Volume), 2005
    Co-Authors: I Grant, A C Berger, S K Y Tham
    Abstract:

    We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the Palmar Plate to the base of the middle phalanx. Three years after surgery, (range 25–52 months) the average total active range of motion of the proximal interphalangeal joint was 100° (range 65–115°) for the acute group (operation within 14 days of injury, n = 7 ) and 86° (range 60–110°) for the chronic group (operation on average 46 days after injury, range 21–120 days, n = 7 ). Longer delay from injury was associated with a decreased total range of motion ( P = 0.028 ) . Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.

  • internal fixation of unstable fracture dislocations of the proximal interphalangeal joint
    Journal of Hand Surgery (European Volume), 2005
    Co-Authors: I Grant, A C Berger, S K Y Tham
    Abstract:

    We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the Palmar Plate to the base of the middle phalanx. Three years after surgery, (range 25-52 months) the average total active range of motion of the proximal interphalangeal joint was 100 degrees (range 65-115 degrees) for the acute group (operation within 14 days of injury, n=7) and 86 degrees (range 60-110 degrees) for the chronic group (operation on average 46 days after injury, range 21-120 days, n=7). Longer delay from injury was associated with a decreased total range of motion (P=0.028). Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.

Daniel Brown - One of the best experts on this subject based on the ideXlab platform.

I Grant - One of the best experts on this subject based on the ideXlab platform.

  • internal fixation of unstable fracture dislocations of the proximal interphalangeal joint
    Journal of Hand Surgery (European Volume), 2005
    Co-Authors: I Grant, A C Berger, S K Y Tham
    Abstract:

    We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the Palmar Plate to the base of the middle phalanx. Three years after surgery, (range 25–52 months) the average total active range of motion of the proximal interphalangeal joint was 100° (range 65–115°) for the acute group (operation within 14 days of injury, n = 7 ) and 86° (range 60–110°) for the chronic group (operation on average 46 days after injury, range 21–120 days, n = 7 ). Longer delay from injury was associated with a decreased total range of motion ( P = 0.028 ) . Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.

  • internal fixation of unstable fracture dislocations of the proximal interphalangeal joint
    Journal of Hand Surgery (European Volume), 2005
    Co-Authors: I Grant, A C Berger, S K Y Tham
    Abstract:

    We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the Palmar Plate to the base of the middle phalanx. Three years after surgery, (range 25-52 months) the average total active range of motion of the proximal interphalangeal joint was 100 degrees (range 65-115 degrees) for the acute group (operation within 14 days of injury, n=7) and 86 degrees (range 60-110 degrees) for the chronic group (operation on average 46 days after injury, range 21-120 days, n=7). Longer delay from injury was associated with a decreased total range of motion (P=0.028). Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.

J. A. Casaletto - One of the best experts on this subject based on the ideXlab platform.

  • AFTER Palmar Plate FIXATION OF FRACTURES OF THE DISTAL RADIUS
    2016
    Co-Authors: J. A. Casaletto, D. Machin, R. Leung, D. J. Brown
    Abstract:

    Palmar Plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6 % of cases after this procedure. Although Palmar Plate fixation has also been associated with flexor pollicis longus (FPL) tendon problems, the majority of reported cases pre-date the use of newer anatomically pre-contoured locking Plates. In this paper seven cases of FPL rupture are presented. This complication does not appear to be unique to one type of implant. The possible aetiologies for FPL ruptures are discussed and ways to reduce the incidence of this complication are suggested

  • flexor pollicis longus tendon ruptures after Palmar Plate fixation of fractures of the distal radius
    Journal of Hand Surgery (European Volume), 2009
    Co-Authors: J. A. Casaletto, R. Leung, David M G Machin, Daniel Brown
    Abstract:

    Palmar Plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6% of cases after this procedure. Although Palmar Plate fixation has also been associated with flexor pollicis longus (FPL) tendon problems, the majority of reported cases pre-date the use of newer anatomically precontoured locking Plates. In this paper seven cases of FPL rupture are presented. This complication does not appear to be unique to one type of implant. The possible aetiologies for FPL ruptures are discussed and ways to reduce the incidence of this complication are suggested.

  • flexor pollicis longus tendon ruptures after Palmar Plate fixation of fractures of the distal radius
    Journal of Hand Surgery (European Volume), 2009
    Co-Authors: J. A. Casaletto, R. Leung, David M G Machin, Daniel Brown
    Abstract:

    Palmar Plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6% of cases after t...

A C Berger - One of the best experts on this subject based on the ideXlab platform.

  • internal fixation of unstable fracture dislocations of the proximal interphalangeal joint
    Journal of Hand Surgery (European Volume), 2005
    Co-Authors: I Grant, A C Berger, S K Y Tham
    Abstract:

    We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the Palmar Plate to the base of the middle phalanx. Three years after surgery, (range 25–52 months) the average total active range of motion of the proximal interphalangeal joint was 100° (range 65–115°) for the acute group (operation within 14 days of injury, n = 7 ) and 86° (range 60–110°) for the chronic group (operation on average 46 days after injury, range 21–120 days, n = 7 ). Longer delay from injury was associated with a decreased total range of motion ( P = 0.028 ) . Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.

  • internal fixation of unstable fracture dislocations of the proximal interphalangeal joint
    Journal of Hand Surgery (European Volume), 2005
    Co-Authors: I Grant, A C Berger, S K Y Tham
    Abstract:

    We report a group of 14 patients with fracture dislocations of the proximal interphalangeal joint with fracture fragments of adequate size to allow reduction of the proximal interphalangeal joint and internal mini screw fixation of the bone fragment attached to the Palmar Plate to the base of the middle phalanx. Three years after surgery, (range 25-52 months) the average total active range of motion of the proximal interphalangeal joint was 100 degrees (range 65-115 degrees) for the acute group (operation within 14 days of injury, n=7) and 86 degrees (range 60-110 degrees) for the chronic group (operation on average 46 days after injury, range 21-120 days, n=7). Longer delay from injury was associated with a decreased total range of motion (P=0.028). Further subluxation occurred in three chronic group patients, one required further surgery. The key to successful treatment of this injury is the re-establishment of joint congruity and early mobilization. With appropriate patient selection, pain free, satisfactory range of motion can be achieved. There is a risk of persistent subluxation or dislocation, particularly if treatment is delayed.