Static Traction and Early Mobilization Protocol for Intra-articular Fractures of Proximal Interphalangeal Joint: Technique and Outcome

Abstract

Operative Technique The procedure was done under the brachial plexus block. Under fluoroscopic control, the fracture dislocation was reduced by longitudinal traction and flexion of the joint. The aim was to get the fracture fragments into the best possible alignment by molding, using the soft tissue envelope around the site of the fracture and correct joint subluxation. We did not attempt any percutaneous/ invasive technique for fracture reduction. A preliminary reduction also indicated the amount of traction needed to maintain joint alignment and the degree of flexion required. The material needed for the traction assembly is—plaster roll, malleable aluminum splint, no. 1 polypropylene suture, cotton bandages, and adhesive tape (Fig. 1A ). The splint is bent by 20–30° In t r o d u c t I o n