Background: The purpose of this study was to determine the reoperation rate and what factors are associated with reoperation of proximal interphalangeal (PIP) joint fractures. Methods: We identified 161 surgically treated PIP joint fractures between 2004 and 2015 at 2 academic medical systems. Demographic, injury, radiographic, and treatment data that might be associated with reoperation were collected. Bivariate analysis was performed. Factors identified during bivariate analysis with a P < .10 were entered into a multivariable logistic regression analysis. Results: Of the 161 fingers, 25 underwent revision surgery. Open fracture was independently associated with revision surgery. The most common indication for reoperation was joint stiffness (35%). In a subanalysis of 111 closed fractures, no factors were associated with revision surgery. Conclusions: Soft tissue injury is a major factor in reoperation after PIP joint fracture dislocation. Specific attention should be paid to persistent subluxation because this may predispose to early arthrosis.
HaaseSCChungKC. Current concepts in treatment of fracture-dislocations of the proximal interphalangeal joint. Plast Reconstr Surg. 2014;134(6):1246-1257.
2.
KiefhaberTRSternPJ. Fracture dislocations of the proximal interphalangeal joint. J Hand Surg Am. 1998;23(3):368-380.
3.
SaittaBHWolfJM. Treating proximal interphalangeal joint dislocations. Hand Clin. 2018;34(2):139-148.
4.
LeeJYTeohLC. Dorsal fracture dislocations of the proximal interphalangeal joint treated by open reduction and interfragmentary screw fixation: indications, approaches and results. J Hand Surg Br. 2006;31(2):138-146.
5.
FukuiTIshidaKShojiT, et al. A palmar fracture-dislocation of the proximal interphalangeal joint of the middle finger caused by bowling: a case report. J Sports Sci Med. 2009;8(1):144-147.
6.
de HasethKBNeuhausVMudgalCS. Dorsal fracture-dislocations of the proximal interphalangeal joint: evaluation of closed reduction and percutaneous Kirschner wire pinning. Hand. 2015;10(1):88-93.
7.
BearDMWeichbrodtMTHuangC, et al. Unstable dorsal proximal interphalangeal joint fracture-dislocations treated with extension-block pinning. Am J Orthop. 2015;44(3):122-126.
8.
MaallaRYoussefMBen JdidiaG, et al. Extension-block pinning for fracture-dislocation of the proximal interphalangeal joint. Orthop Traumatol Surg Res. 2012;98(5):559-563.
9.
WarisEMattilaSSillatT, et al. Extension block pinning for unstable proximal interphalangeal joint dorsal fracture dislocations. J Hand Surg Am. 2016;41(2):196-202.
10.
ShenXFMiJYRuiYJ, et al. Delayed treatment of unstable proximal interphalangeal joint fracture-dislocations with a dynamic external fixator. Injury. 2015;46(10):1938-1944.
11.
HamadaYHibinoNTonogaiI, et al. Staged external fixation for chronic fracture-dislocation of the proximal interphalangeal joint: outcomes of patients with a minimum 2-year follow-up. J Hand Surg Am. 2012;37(3):434-439.
12.
RulandRTHoganCJCannonDL, et al. Use of dynamic distraction external fixation for unstable fracture-dislocations of the proximal interphalangeal joint. J Hand Surg Am. 2008;33(1):19-25.
13.
EllisSJChengRProkopisP, et al. Treatment of proximal interphalangeal dorsal fracture-dislocation injuries with dynamic external fixation: a pins and rubber band system. J Hand Surg Am. 2007;32(8):1242-1250.
14.
BainGIMehtaJAHeptinstallRJ, et al. Dynamic external fixation for injuries of the proximal interphalangeal joint. J Bone Joint Surg Br. 1998;80(6):1014-1019.
15.
CheahAETanDMChongAK, et al. Volar plating for unstable proximal interphalangeal joint dorsal fracture-dislocations. J Hand Surg Am. 2012;37(1):28-33.
16.
PiotuchBPuchalskiPZylukA. Modified proximal interphalangeal joint palmar plate arthroplasty after fracture dislocation: a case report. Handchir Mikrochir Plast Chir. 2014;46(3):192-195.
17.
WilliamsRMKiefhaberTRSommerkampTG, et al. Treatment of unstable dorsal proximal interphalangeal fracture/dislocations using a hemi-hamate autograft. J Hand Surg Am. 2003;28(5):856-865.
18.
AfendrasGAbramoAMrkonjicA, et al. Hemi-hamate osteochondral transplantation in proximal interphalangeal dorsal fracture dislocations: a minimum 4 year follow-up in eight patients. J Hand Surg Eur Vol. 2010;35(8):627-631.
19.
CalfeeRPKiefhaberTRSommerkampTG, et al. Hemi-hamate arthroplasty provides functional reconstruction of acute and chronic proximal interphalangeal fracture-dislocations. J Hand Surg Am. 2009;34(7):1232-1241.
20.
LindenblattNBiraimaATamiI, et al. Hemi-hamate autograft arthroplasty for acute and chronic PIP joint fracture dislocations. Handchir Mikrochir Plast Chir. 2013;45(1):13-19.
21.
GrusonKIHuangKWanichT, et al. Workers’ compensation and outcomes of upper extremity surgery. J Am Acad Orthop Surg. 2013;21(2):67-77.
22.
van der GrondeBATDCrijnsTJRingD, et al. Discretionary surgery: a comparison of workers’ compensation and commercial insurance. Hand. 2019;14(1):95-101.
23.
McLainRFSteyersCStoddardM. Infections in open fractures of the hand. J Hand Surg Am. 1991;16(1):108-112.
24.
EatonRGMalerichMM. Volar plate arthroplasty of the proximal interphalangeal joint: a review of ten years’ experience. J Hand Surg Am. 1980;5(3):260-268.
25.
O’BrienLJSimmATLohIW, et al. Swing traction versus no-traction for complex intra-articular proximal inter-phalangeal fractures. J Hand Ther. 2014;27(4):309-315; quiz 316.
26.
WatanabeKKinoYYajimaH. Factors affecting the functional results of open reduction and internal fixation for fracture-dislocations of the proximal interphalangeal joint. Hand Surg. 2015;20(1):107-114.
