PMID: 9555992Apr 29, 1998Paper

Use of a multiplanar distracter for the correction of a proximal interphalangeal joint contracture

Annals of Plastic Surgery
A KasabianN Karp

Abstract

Proximal interphalangeal (PIP) joint contractures are common complications in hand injuries and conditions such as Dupuytren's contracture. Conventional treatment such as splinting and serial casting may result in inadequate improvement. Operative release of the contracture may be complicated by neurovascular overstretch with injury to the digital nerves or vascular compromise. Gradual distraction of the contracted joint may prevent this neurovascular injury. The multiplanar distracter was designed for three-dimensional distraction of the mandible. Distraction may be obtained in the X, Y, or Z planes. With this device, the angular relationship between two planes may be altered. A 22-year-old male with a PIP joint contraction following replantation failed conventional treatment for release. With the use of a multiplanar distracter, the flexion contraction was reduced from 95 degrees to a more functional 30 degrees using gradual angular distraction. The angle between the proximal and middle phalanges were gradually changed using the ability of the distracter to change the angular relationship in the X-Y plane. At 3 and 6 months postdistraction, the patient has maintained his 30-degree flexion angle. The multiplanar distracter is ...Continue Reading

Citations

Sep 12, 2013·The Journal of Hand Surgery·Shirzad HoushianMohammad Emami-Moghaddam-Tehrani
Jul 31, 2013·The Journal of Hand Surgery·Shirzad HoushianMohammad Emami-Moghaddam-Tehrani
May 8, 2007·The Journal of Hand Surgery·Shirzad Houshian, Chandrasekar Chikkamuniyappa
Jul 26, 2005·British Journal of Plastic Surgery·P Natividade da SilvaJ Amarante
Nov 23, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·C Chikkamuniyappa, Shirzad Houshian
Oct 5, 2016·Hand : Official Journal of the American Association for Hand Surgery·Kevin F LutskyPedro K Beredjiklian
Feb 27, 2007·The Journal of Bone and Joint Surgery. British Volume·S HoushianH Schroeder
Sep 9, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Christopher J Hogan, James A Nunley

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