Lubahn J D
Hamot Medical Center, Erie, Pennsylvania.
Hand Clin. 1988 Feb;4(1):15-24.
Dorsal fracture dislocations of the proximal interphalangeal joint with or without subsequent instability require a careful initial clinical examination followed by appropriate operative or nonoperative treatment. Attention to detail is crucial in achieving a successful outcome, regardless of the treatment selected. This article outlines the various classification systems available for dorsal fracture dislocation of the proximal interphalangeal joint and the appropriate treatment. It further describes management of cases that present late and require secondary reconstructive procedures.
近端指间关节背侧骨折脱位，无论有无继发不稳定，均需在初始时进行仔细的临床检查，随后采取适当的手术或非手术治疗。无论选择何种治疗方法，注重细节对于取得成功的治疗效果至关重要。本文概述了近端指间关节背侧骨折脱位可用的各种分类系统及相应治疗方法。还进一步描述了延迟就诊且需要二次重建手术的病例的处理方法。
