Evaluating PIPJ Reconstruction Outcomes Post-Trauma with Ex-Fix: A Retrospective Study from Our New Plastic Surgery Unit, Salford, UK

Author : Yousef Abdalazeem, Maged Elsafti, Ashraf Mostafa

Abstract :Background: Proximal interphalangeal joint (PIPJ) injuries significantly impact hand function. This study evaluates the outcomes of PIPJ reconstruction in our new plastic surgery unit compared to current standards. Methods: A retrospective review of five patients (3 males, 2 females, aged 26-60) with closed finger trauma due to falls, twists, or impacts was conducted. Surgical intervention occurred within days post injury, followed by physiotherapy to restore range of motion (ROM) in the metacarpophalangeal (MCPJ), PIPJ, and distal interphalangeal (DIPJ) joints. The average follow-up with hand therapy was 5.4 months. Results: One patient discontinued therapy after four months, achieving full ROM. Another was lost to follow-up. A third showed moderate improvement in ROM after three months. The fourth completed four months of therapy, achieving full MCPJ and DIPJ ROM and nearly full PIPJ ROM. After 12 months, the fifth demonstrated significant improvement, achieving full MCPJ extension and substantial PIPJ and DIPJ flexion.

Keywords :Proximal interphalangeal joint (PIPJ), Hand function, PIPJ reconstruction, Range of motion (ROM), Physiotherapy, Closed finger trauma, Rehabilitation strategies.

Conference Name :International Conference on Plastic, Reconstructive and Aesthetic Surgery (ICPRAS-25)

Conference Place Dublin, Ireland

Conference Date 10th Jan 2025