Phalangeal Fractures: Anatomy, Injuries and Treatment-PIP Joint Fracture ORIF

Video Transcription

Video Summary

In this video, Jeff Lott discusses open reduction internal fixation (ORIF) of the proximal and phalangeal joints. He presents various strategies for dealing with fractures involving the base of the middle phalanx and the head of the proximal phalanx. Lott emphasizes the importance of restoring articular congruity and concentric reduction of the joint to prevent long-term complications such as arthritis. He explains the surgical techniques involved in ORIF, including closed reduction pinning, open reduction internal fixation with screw and/or plate constructs, and a cerclage construct. Lott also highlights the significance of the proximal interphalangeal (PIP) joint and the need to pay attention to its management to maintain hand function. He discusses different fracture types and their appropriate treatment methods, emphasizing patient selection and the importance of achieving rigid fixation to allow early motion. Lott also explains the use of locking plates and variable angle fixation in hand surgeries. Overall, he highlights the challenges and considerations in treating pararticular fractures in the hand.

Keywords

ORIF

fractures

articular congruity

surgical techniques

hand function

locking plates