{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:20:16Z","timestamp":1773296416941,"version":"3.50.1"},"reference-count":13,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2017,9,30]],"date-time":"2017-09-30T00:00:00Z","timestamp":1506729600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2017,9,30]]},"abstract":"\n Background:<\/jats:title>\n Proximal interphalangeal (PIP) fracture dislocations remain a complex injury pattern to treat. There are several treatment methods available aimed to restore stability, preserve range of motion, and reconstitute the articular surface. This study looked at the mid-term clinical and radiographic results of open reduction internal fixation through a shotgun approach of comminuted PIP fracture dislocations.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A retrospective review was conducted of all PIP fracture dislocations treated through a volar, shotgun approach at a single institution over a 15-year period. Patients identified were contacted and asked to return to the office for clinical and radiographic evaluation. Patient reported outcomes were assessed with the Michigan hand questionnaire (MHQ) and visual analog scale (VAS) for pain.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n 5 patients returned to the office for further evaluation with average follow-up of 69 months (range, 33-133 months). 3 patients were found to have post traumatic arthritis on radiographs. 1 case had recurrent instability and one case had a deep infection, both necessitating further surgical intervention. Average PIP arc of motion was found to be 79\u00b0. Average VAS score of 0 and MHQ result of 95 (out of a possible score of 100) indicating no residual pain and excellent functionality of the affected hand.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Open reduction internal fixation of comminuted PIP fracture dislocations utilizing the volar, shotgun approach provides excellent mid-term functional results despite the high incidence of post traumatic arthritis.<\/jats:p>\n <\/jats:sec>","DOI":"10.2174\/1874325001711011073","type":"journal-article","created":{"date-parts":[[2017,10,5]],"date-time":"2017-10-05T11:27:53Z","timestamp":1507202873000},"page":"1073-1080","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Mid-Term Outcomes After Open Reduction Internal Fixation of Proximal Interphalangeal Joint Dorsal Fracture-Dislocations Through a Volar, Shotgun Approach and a Review of the Literature"],"prefix":"10.2174","volume":"11","author":[{"given":"Juan Marcelo","family":"Giugale","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juntian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Kaufmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R.","family":"Fowler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Williams RM, Kiefhaber TR, Sommerkamp TG, Stern PJ. \n Treatment of unstable dorsal proximal interphalangeal fracture\/dislocations using a hemi-hamate autograft. \n J Hand Surg Am \n 2003; \n 28\n (5)\n : 856-65.","DOI":"10.1016\/S0363-5023(03)00304-6"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Kiefhaber TR, Stern PJ. \n Fracture dislocations of the proximal interphalangeal joint. \n J Hand Surg Am \n 1998; \n 23\n (3)\n : 368-80.","DOI":"10.1016\/S0363-5023(05)80454-X"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Chung KC, Pillsbury MS, Walters MR, Hayward RA. \n Reliability and validity testing of the Michigan hand outcomes questionnaire. \n J Hand Surg Am \n 1998; \n 23\n (4)\n : 575-87.","DOI":"10.1016\/S0363-5023(98)80042-7"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Liodaki E, Xing SG, Mailaender P, Stang F. \n Management of difficult intra-artciular fractures or fracture dislocations of the proximal interphalangeal joint. \n J Hand Surg [Br] \n 2015; \n 40E\n (1)\n : 16-23.","DOI":"10.1177\/1753193414559464"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"O\u2019Rourke SK, Gaur S, Barton NJ. \n Long-term outcome of articular fractures of the phalanges: An eleven year follow up. \n J Hand Surg [Br] \n 1989; \n 14\n (2)\n : 183-93.","DOI":"10.1016\/0266-7681(89)90123-X"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Ellis SJ, Cheng R, Prokopis P, et al. \n Treatment of proximal interphalangeal dorsal fracture-dislocation injuries with dynamic external fixation: A pins and rubber band system. \n J Hand Surg Am \n 2007; \n 32\n (8)\n : 1242-50.","DOI":"10.1016\/j.jhsa.2007.07.001"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Badia A, Riano F, Ravikoff J, Khouri R, Gonzalez-Hernandez E, Orbay JL. \n Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations. \n J Hand Surg Am \n 2005; \n 30\n (1)\n : 154-60.","DOI":"10.1016\/j.jhsa.2004.07.019"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Ruland RT, Hogan CJ, Cannon DL, Slade JF. \n Use of dynamic distraction external fixation for unstable fracture-dislocations of the proximal interphalangeal joint. \n J Hand Surg Am \n 2008; \n 33\n (1)\n : 19-25.","DOI":"10.1016\/j.jhsa.2007.07.018"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Waris E, Alanen V. \n Percutaneous, intramedullary fracture reduction and extension block pinning for dorsal proximal interphalangeal fracture-dislocations. \n J Hand Surg Am \n 2010; \n 35\n (12)\n : 2046-52.","DOI":"10.1016\/j.jhsa.2010.08.004"},{"key":"ref10","unstructured":"Cheah AE, Tan DM, Chong AK, Chew WY. \n Volar plating for unstable proximal interphalangeal joint dorsal fracture-dislocations. \n J Hand Surg Am \n 2012; \n 37\n (1)\n : 28-33."},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Hamilton SC, Stern PJ, Fassler PR, Kiefhaber TR. \n Mini-screw fixation for the treatment of proximal interphalangeal joint dorsal fracture-dislocations. \n J Hand Surg Am \n 2006; \n 31\n (8)\n : 1349-54.","DOI":"10.1016\/j.jhsa.2006.07.011"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Grant I, Berger AC, Tham SK. \n Internal fixation of unstable fracture dislocations of the proximal interphalangeal joint. \n J Hand Surg [Br] \n 2005; \n 30\n (5)\n : 492-8.","DOI":"10.1016\/j.jhsb.2005.05.006"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Deitch MA, Kiefhaber TR, Comisar BR, Stern PJ. \n Dorsal fracture dislocations of the proximal interphalangeal joint: Surgical complications and long-term results. \n J Hand Surg Am \n 1999; \n 24\n (5)\n : 914-23.","DOI":"10.1053\/jhsu.1999.0914"}],"container-title":["The Open Orthopaedics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V11\/TOORTHJ-11-1073\/TOORTHJ-11-1073.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V11\/TOORTHJ-11-1073\/TOORTHJ-11-1073.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openorthopaedicsjournal.com\/contents\/volumes\/V11\/TOORTHJ-11-1073\/TOORTHJ-11-1073.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T11:59:19Z","timestamp":1553255959000},"score":1,"resource":{"primary":{"URL":"https:\/\/openorthopaedicsjournal.com\/VOLUME\/11\/PAGE\/1073\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,30]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,9,30]]}},"alternative-id":["TOORTHJ-11-1073"],"URL":"https:\/\/doi.org\/10.2174\/1874325001711011073","relation":{},"ISSN":["1874-3250"],"issn-type":[{"value":"1874-3250","type":"print"}],"subject":[],"published":{"date-parts":[[2017,9,30]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Single blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2017-06-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-7-24","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-08-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}