Vol. 1 No. 1 (2021), Case Reports
Vol. 1 No. 1 (2021)

Management by the Suzuki method of an open fracture-dislocation of the hand inter-proximal phalangeal joint: a case report

Case Reports
https://doi.org/10.67869/jt1f9378 Crossmark
Published 2021-06-01
  • MMMH Dalatou
  • AM Abdoulwahab
  • A Padonou
  • O Goukodadja
  • BS Souna
  • AA Hans-Moevi
MMMH Dalatou
AM Abdoulwahab
A Padonou
O Goukodadja
BS Souna
AA Hans-Moevi
PDF (French)

Keywords

fracture-luxation
joint
proximal interphalangeal
hand
Suzuki Introduction l’extenseur [3]

How to Cite

1.
Dalatou M, Abdoulwahab A, Padonou A, Goukodadja O, Souna B, Hans-Moevi A. Management by the Suzuki method of an open fracture-dislocation of the hand inter-proximal phalangeal joint: a case report. J Sah Sci Santé [Internet]. 2021 Jun. 1 [cited 2026 Oct. 14];1(1):50-4. Available from: https://www.j3s-fss-uas.org/index.php/jsss/article/view/25
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Abstract

Introduction :
Fracture-luxation of the proximal interphalangeal joint of the fingers is a rare injury and a challenge in hand surgery. The objective of this study was to report a case of fracture-luxation of the interphalangeal joint treated by the Suzuki method.

Case Report :
This was a 36-year-old patient with open trauma to the 4th finger of his left hand. Clinical and paraclinical examinations led to the diagnosis of a complex fracture of the base of P2 and palmar dislocation of the PPI of the 4th finger. Management consisted of trimming, bone reconstruction with pinning of the base of the middle phalanx and distraction fixation using the Suzuki technique. The postoperative results were satisfactory with persistence of a flexion deficit in a sector of 0 to 75°.

Conclusion :
The Suzuki technique is simple, reliable, less expensive and can give satisfactory results. It can be an alternative in settings with limited technical resources.

PDF (French)
References

1. Tidjani F, Chigblo PS, Some B, Lawson E, Goukodadja O, Padonou A et al. Aspects épidemio-cliniques des traumatismes graves de la main au Centre National Hospitalier Universitaire Hubert Koutoukou Maga de Cotonou, Bénin. Med Afr Noire 2016; 63(5):271-276.

2. Bellemère P, Chaise F, Gaisne E, Loubersac T, Poirier P. Fractures des phalanges et des métacarpiens. Encycl Méd Chir 2003; 32: 44-368.

3. Lawson E, Thomsen L, Hans-Moevi Akué A, Falcone MO. Fracture-luxation complexe de l’articulation interphalangienne proximale. À propos d’un cas et mise au point sur les fractures-luxations palmaires interphalangiennes proximales. Chir main 2013; 32: 281-286.

4. Suzuki Y, Matsunaga T, Sato S, Yokoi T. The pins and rubbers traction system for treatment of comminuted intraarticular fractures and fracture-dislocations in the hand. J Hand Surg [Br]. 1994;19(1):98-107. Erratum in:J Hand Surg [Br] 1994;19(3):408.

5. Komura S, Yokoi T, Nonomura H. Mini hook plate fixation for palmar fracture-dislocation of the proximal interphalangeal joint. Arch Orthop Trauma Surg 2011; 131: 563-6.

6. Vilhjalmur F. Suzuki’s pins and rubber traction for fractures of the base of the middle Phalanx. Plast Surg Hand Surg 2010; 44: 209-213. Conclusion Les fractures de la base de la phalange moyenne et luxations de l’articulation inter-phalangienne proximale des doigts sont des lésions rares et souvent difficiles à traiter. Elles nécessitent une prise en charge adéquate pour une meilleure récupération fonctionnelle. Le système de fixation en distraction selon le principe de Suzuki demeure toujours d’actualité et permet d’avoir des résultats acceptables dans des milieux à plateau technique limité.

7. Beaudet P, Bellemère P, Apard T, Kerjean Y. Fractures-luxations des IPP des doigts longs. Traitement par broches IPP-stop. À propos de huit cas. Rev Chir Orthop 2009; 95:134-138.

8. Nikkhah D, Ruston J, Toft N. Refinements in dynamic external fixation for optimal fracture distraction in pilon-type fractures of the proximal interphalangeal joint. J Plast Reconstr Aesthet Surg. 2016; 69:1153-1155.

9. Galanopoulos I, Vynichakis G. A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report. Cureus. 2019;11(2): e4007.

10. Packham TL, Ball PD, MacDermid JC, Bain JR, DalCin A. A scoping review of applications and outcomes of traction orthoses and constructs for the management of intraarticular fractures and fracture dislocations in the hand. J Hand Ther. 2016; 29: 246-268.

11. Agarwal AK, Karri V, Pickford MA. Avoiding pitfalls of the pins and rubber traction technique for fractures of the proximal interphalangeal joint. Ann Plast Surg 2007; 58:489-95.

12. Deshmukh SC, Kumar D, Mathur K, Thomas B. Complex fractured-dislocation of the proximal interphalangeal joint of the hand. Results of a modified pins and rubbers traction system. J Bone Joint Surg Br. 2004; 86(3): 406-12.

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Copyright (c) 2021 M Dalatou, A Abdoulwahab, A Padonou, O Goukodadja, B Souna, A Hans-moevi