Article
Surgical treatment for patients who fail to conserve the complete rupture of the collateral ligament in the proximal interphalangeal joint
Search Medline for
Authors
Published: | February 6, 2020 |
---|
Outline
Text
Objectives/Interrogation: The purpose of this study was to compare the preoperative and postoperative outcomes of Surgical treatment for patients who fail to conserve the complete rupture of the collateral ligament in the proximal interphalangeal (PIP) joint.
Methods: A complete rupture of the collateral ligament was confirmed by radiologist using ultrasound or MRI for patients who had symptoms after 4 weeks of conservative treatment. Eleven patients underwent operative collateral ligament repair using an anchor. All patient was followed up for at least 6 months postoperatively. We evaluated clinical outcomes preoperatively and at 6 months follow-up: 1) range of motion of the PIP, 2) joint stability, 3) VAS score, and 4) Fusiform index of the PIP joint.
Results and Conclusions: There was no instability in the lateral stress test at 6 months follow-up. The ranges of motion of the PIP were not statistically different between preoperative and at 6 months follow-up. Patients had less pain but cosmetic appearance of the PIP joint did not improve.
Surgical treatment for patients who fail to conserve the complete rupture of the collateral ligament in the proximal interphalangeal joint can provide good joint stability, functional recovery.