gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Partial excision of volar plate and dorsal capsulotomy in patients with post-traumatic ankylosis of finger joint in the hand

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  • presenting/speaker Min Ho Lee - Seoul National University Hospital, Seoul, South Korea
  • Che Ho Lee - Seoul National University Hospital, Seoul, South Korea
  • Young Ju Chae - Seoul National University Bundang Hospital, Gyeonggi-do, South Korea
  • Jihyeung Kim - Seoul National University Hospital, Seoul, South Korea
  • Kee Jeong Bae - Seoul National University Boramae Medical Center, Seoul, South Korea
  • Hyun Sik Gong - Seoul National University Bundang Hospital, Gyeonggi-do, South Korea
  • Young Ho Lee - Seoul National University Hospital, Seoul, South Korea
  • Goo Hyun Baek - Seoul National University Hospital, Seoul, South Korea

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-622

doi: 10.3205/19ifssh0263, urn:nbn:de:0183-19ifssh02639

Veröffentlicht: 6. Februar 2020

© 2020 Lee et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Post-traumatic ankylosis of the finger joint is one of the complications after traumatic hand injury. If there is no improvement through conservative treatments, surgical treatments can be considered. Although several surgical techniques such as dorsal capsulotomy and release of the accessory collateral ligament have been suggested, the result was not satisfactory. The purposes of this study are to suggest new surgical technique to restore finger joint motion and to present the surgical outcome of this technique.

Methods: We retrospectively reviewed 14 patients, 7 males and 7 females, who were diagnosed as post-traumatic ankylosis of finger joint, underwent partial excision of volar plate and dorsal capsulotomy between January 2014 to June 2016 and followed up for more than one year. There were ten metacarpophalangeal (MCP) joints and four proximal interphalangeal (PIP) joints. The average interval between the initial injury and the surgery were 60 (range, 10 to 120) months.

Results and Conclusions: Of the ten MCP joints, the average range of motion was improved from 31 degrees to 92 degrees one year after surgery. Of the four PIP joints, the average range of motion was improved from 20 degrees to 77 degrees one year after surgery. There were no acute complications such as instability, infection, and wound dehiscence. All the patients were satisfied with the surgical outcomes.

Because this technique does not release both collateral ligaments, the joint stability can be maintained. We can also safely release volar plate and dorsal capsule through anterior and posterior dual approaches. Partial excision of volar plate and dorsal capsulotomy can be one of the good options in patients with post-traumatic ankylosis of finger joint.