Modalities for the Management of Proximal Interphalangeal Fractures: A Systematic Review and Meta-analysis | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 20 March 2022 | ||
| Document Type: Research article | ||
| DOI: 10.21608/ejprs.2022.122471.1152 | ||
| Authors | ||
| Mira Sameh William* 1; Karim Ellamie1; Ahmed M Gad2; adel hussein sayed amr3 | ||
| 1Plastic Surgery, Medicine, Ain Shams, Cairo, Egypt | ||
| 2Plastic Surgery Department Ain Shams university | ||
| 3assistant professor of plastic ,burn and maxillofacial surgery ain shams university | ||
| Abstract | ||
| Background: Given the possible long-term consequences of the implicated finger and whole hand, treating proximal interphalangeal joint (PIPJ) fracture-dislocations is tough. The purpose of this review was to compare different modalities for management of proximal interphalangeal fractures in terms of VAS analogue, function score (QDASH), range of motion, grip strength, and the incidence of postoperative complications. Methods: For all studies on PIPJ fracture-dislocations, a literature review was conducted using PubMed, SCOPUS, Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science database. Outcomes of interest included VAS analogue, function score (QDASH),range of motion, grip strength, and the incidence of postoperative complications. Open reduction, percutaneous fixation, dynamic external fixation, extension-block pinning, and hemi-hamate arthroplasty were the surgical methods used to divide the articles into five groups. Results: The search yielded 688 distinct results. After that, we kept 54 records that were possibly suitable for full-text screening. Finally, 21 studies were included (with a total of 242 patints).In this study, The best overall effect fir ROM was 83.4° in percutaneous fixation 83.4° for Extension Block Pinning, 78.4°in Hemihamate arthroplasty, also 78.4° for Dynamic External Fixation and ORIF with mini screw was 77.6° .In the current study Grip strength had overall effect (81.4% ,78.3% and 73.4% ) for EBP ,Hemihamate arthroplasty and ORIF respectively. Regarding Q DASH its overall effect was 11.9 following Hemihamate arthroplasty and 5.3 following EBP.There was no substantial heterogeneity in the pooled trials Conclusion: In a review of post-operative outcomes, no surgical strategy to PIPJ fracture-dislocation therapy consistently generated consistently better average post-operative function data. Treatment for PIPJ necessitates deliberation and is ultimately determined by the kind of fracture, the region of impacted joint space, and the magnitude of the fracture. | ||
| Keywords | ||
| Digits; Anatomy; Finger; Fracture/Dislocation | ||
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