{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:00:59Z","timestamp":1791396059117,"version":"4.3.3"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nClosed intra-articular fractures of the proximal interphalangeal (PIP) joint are difficult to manage because of the small articular surface, joint instability, and risk of post-operative stiffness. Dynamic external fixation using the Suzuki frame aims to restore joint congruity while permitting early mobilization and functional recovery.\n\nAim:\nThis study aims to evaluate the functional outcomes of closed intra-articular PIP joint fractures of the hand managed with Suzuki frame fixation.\n\nMaterials and Methods:\nThis prospective study included 32 patients with closed intra-articular PIP joint fractures treated using the Suzuki dynamic external fixation frame. One patient was lost to follow-up; therefore, 31 patients were included in the functional outcome analysis. Patients were followed for 12 weeks. Functional outcomes were assessed using PIP joint range of motion (ROM), quick disabilities of the arm, shoulder, and hand (QuickDASH) score, and post-operative complications.\n\nResults:\nThe majority of patients were male (78.1%) aged 17\u201330 years (56.3%). Slip and fall (43.8%) was the most common mechanism of injury. Mean ROM improved significantly from 42.5\u00b0 \u00b1 8.3\u00b0 at 6 weeks to 110.6\u00b0 \u00b1 9.2\u00b0 at 12 weeks (P &lt; 0.001). The mean QuickDASH score improved from 99.0 \u00b1 0.0 at 6 weeks to 14.9 \u00b1 4.5 at 12 weeks (P &lt; 0.001). Most patients (81.3%) had no post-operative complications, with only one case each of extensor lag and non-union, and no pin-tract infection or joint instability.\n\nConclusion:\nSuzuki frame fixation provides excellent short-term functional recovery in closed intra-articular PIP joint fractures by allowing early mobilization, restoring joint motion, and maintaining low complication rates. It is a safe, minimally invasive, and effective treatment option for unstable PIP joint fractures.\n\nKeywords:\nProximal interphalangeal joint , proximal interphalangeal joint fracture , closed intra-articular fracture , Suzuki frame , dynamic external fixation , ligamentotaxis , functional outcome , range of motion , QuickDASH , Hand fractures<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i10.8306","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:35:36Z","timestamp":1791394536000},"page":"423-430","source":"Crossref","is-referenced-by-count":0,"title":["A Functional Outcome of Closed Intra-articular Fracture of Proximal Interphalangeal Joint of Hand Managed By Suzuki Frame \u2013 A Longitudinal Study"],"prefix":"10.13107","volume":"16","author":[{"given":"S","family":"Balaji","sequence":"first","affiliation":[{"name":"epartment of Orthopaedics, Indira Gandhi Medical College and Research Institute, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Kaliaperumal","sequence":"additional","affiliation":[{"name":"epartment of Orthopaedics, Indira Gandhi Medical College and Research Institute, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Gokulraj","sequence":"additional","affiliation":[{"name":"epartment of Orthopaedics, Indira Gandhi Medical College and Research Institute, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rumesh Kannan","family":"Gunasekaran","sequence":"additional","affiliation":[{"name":"epartment of Orthopaedics, Indira Gandhi Medical College and Research Institute, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Muralidharan","sequence":"additional","affiliation":[{"name":"epartment of Orthopaedics, Indira Gandhi Medical College and Research Institute, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Gogoularadja","sequence":"additional","affiliation":[{"name":"epartment of Orthopaedics, Indira Gandhi Medical College and Research Institute, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:35:36Z","timestamp":1791394536000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/10\/a-functional-outcome-of-closed-intra-articular-fracture-of-proximal-interphalangeal-joint-of-hand-managed-by-suzuki-frame-a-longitudinal-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i10.8306","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}