Jae-Jung JEONG, Young-Yul KIM, Jong-Hun JI, Sang-Eun PARK

Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction - a case report

Chronic proximal interphalangeal joint (PIPJ) instability of the finger is rare, and when it occurs usu- ally requires surgical reconstruction. Complications arising from failed ligament reconstruction may result in a situation more difficult to address than the initial reconstruction. This situation is more likely for the finger than other orthopaedic reconstructions because the phalangeal bones are so small. We present a case of chronic radial PIPJ instability of the finger and severe bony defect caused by multiple failed ligament reconstructions that was treated successfully using a modification of the bone- ligament-bone graft technique.

Kaynakça

McCue FC, Honner R, Johnson MC, Gieck JH. Athletic injuries of the proximal interphalangeal joint requiring surgical treatment. J Bone Joint Surg Am 1970;52:937-56.

Lane CS. Reconstruction of the unstable proximal in- terphalangeal joint: The double superficialis tenodesis. J Hand Surg Am 1978;3:368-9.

Adams Jp. Correction of chronic dorsal subluxation of the proximal interphalangeal joint by means of a criss-cross volar graft. J Bone Joint Surg Am 1959;41-A:111-5.

Kleınert He, Kasdan Ml. Reconstruction Of Chronically Subluxated Proximal Interphalangeal Finger Joint. J Bone Joint Surg Am 1965;47:958-64.

Rodriguez AL. Injuries to the collateral ligaments of the proximal interphalangeal joints. Hand 1973;5:55-7.

Ahmed HA, Goldie BS. Proximal interphalangeal joint instability: a dynamic technique for stabilization. J Hand Surg Br 2002;27:354-5.

Wu WC, Wong TC, Yip TH. Chronic finger joint insta- bility reconstructed with bone-ligament-bone graft from the iliac crest. J Hand Surg Br 2004;29:494-501.

Bailie DS, Benson LS, Marymont JV. Proximal interpha- langeal joint injuries of the hand. Part I: anatomy and di- agnosis. Am J Orthop (Belle Mead NJ) 1996;25:474-7.

Redler I, Williams JT. Rupture of a collateral ligament of the proximal interphalangeal joint of the fingers. Analysis of eighteen cases. J Bone Joint Surg Am 1967;49:322-6.

Benson LS, Bailie DS. Proximal interphalangeal joint in- juries of the hand. Part II: Treatment and complications. Am J Orthop (Belle Mead NJ) 1996;25:527-30.

Freiberg A, Pollard BA, Macdonald MR, Duncan MJ. Management of proximal interphalangeal joint injuries. Hand Clin 2006;22:235-42.

Patel S, Potty A, Taylor EJ, Sorene ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strategies Trauma Limb Reconstr 2010;5:1-10.

Rhee PC, Jones DB, Kakar S. Management of thumb metacarpophalangeal ulnar collateral ligament injuries. J Bone Joint Surg Am 2012;94:2005-12.

Rhee PC, Kakar S. Chronic thumb metacarpophalangeal joint ulnar collateral ligament insufficiency. J Hand Surg Am 2012;37:346-9.

Guelmi K, Thébaud A, Werther JR, Candelier G, Barbato B, Doursounian L. Bone-retinaculum-bone reconstruc- tion for chronic posttraumatic instability of the meta- carpophalangeal joint of the thumb. J Hand Surg Am 2003;28:685-95.

Wong TC,Ip FK,Wu WC.Bone-periosteum-bone graft reconstruction for chronic ulnar instability of the metacar- pophalangeal joint of the thumb-minimum 5-year follow- up evaluation. J Hand Surg Am 2009;34:304-8.