近端指间关节掌侧骨折脱位切开复位内固定与背板-戴维博士概述

                               
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Dr. David Tuckman - This video shows a patient with a volar fracture dislocation of the proximal interphangeal joint. This can be a devastating injury to the joint with severe long term consequences. I performed a dorsal approach with a dorsal plating. Anatomic reduction of the joint can easily be achieved through this approach.  A couple of pearls for the procedure:
     -Develop the interval between the lateral bands and central slip
     -Maintain the insertion of the central slip
     -Subchondral position of the proximal screws best achieved with the finger in the lateral position under fluoroscopy
     -Check screw length to ensure no penetration of the volar cortex
     -Early range of motion