Amon K
Klinik für Unfall- und Wiederherstellungschirurgie, Städtischen Klinikums Heilbronn.
Aktuelle Traumatol. 1989 Feb;19(1):43-5.
Unstable fracture dislocations of the PIP-joint are difficult to manage, because the primary joint destruction and the necessity of immobilisation often result in joint stiffness and the loss of immobilisation may promote chronic subluxation. In the case described in the article we treated the unstable fracture dislocation with a dynamic transfixation with a "force couple splint" following the open reconstruction and internal fixation of the destroyed joint. The application of this dynamic transfixation allowed early active mobility exercising of the PIP-joint during bone healing and produced an excellent result.
近端指间关节（PIP）不稳定骨折脱位难以处理，因为原发关节破坏以及固定的必要性常常导致关节僵硬，而去除固定可能会促使慢性半脱位。在本文所述病例中，我们在对受损关节进行切开重建和内固定后，采用“力偶夹板”动态固定治疗不稳定骨折脱位。这种动态固定的应用使得在骨折愈合期间近端指间关节能够早期进行主动活动锻炼，并产生了极佳的效果。
