Donaldson W R, Millender L H
J Hand Surg Am. 1978 Mar;3(2):149-53. doi: 10.1016/s0363-5023(78)80063-x.
Reported methods of treatment of chronic fracture-subluxations of the proximal interphalangeal joint require wide dissection and prolonged immobilization and often result in limited motion. Open reduction with minimal dissection, immobilization for 11 days to allow soft-tissue healing, and the early institution of active flexion exercises protected by an extension block splint was done in four patients. The long-term results demonstrate restoration of a stable joint with satisfactory motion and minimal subjective complaints.
据报道，近端指间关节慢性骨折半脱位的治疗方法需要广泛解剖和长时间固定，且常常导致活动受限。对4例患者进行了微创切开复位，固定11天以促进软组织愈合，并早期在伸肌阻滞夹板保护下进行主动屈曲锻炼。长期结果显示关节恢复稳定，活动良好，主观不适轻微。
