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CC BY-NC-ND 4.0 · Indian J Plast Surg 2024; 57(S 01): S123-S127
DOI: 10.1055/s-0044-1787849
Case Report

Volar Plate Draping (VPD) for Severely Comminuted Proximal Phalanx Head Fractures

Ashwini Varadha Rajan 
1   The Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Medical Center and Hospitals, Coimbatore, Tamil Nadu, India
,
Vigneswaran Varadharajan 
1   The Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Medical Center and Hospitals, Coimbatore, Tamil Nadu, India
,
Praveen Bhardwaj 
1   The Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Medical Center and Hospitals, Coimbatore, Tamil Nadu, India
,
S. Raja Sabapathy 
1   The Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Medical Center and Hospitals, Coimbatore, Tamil Nadu, India
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Abstract

While proximal phalangeal joint injuries with comminution of the base of the middle phalanx are common injuries, proximal interphalangeal (PIP) joint fracture dislocations with an intact base of middle phalanx and a comminuted head of proximal phalanx are rare. Volar plate arthroplasty and other described techniques prevail for the former injury, while the latter does not have any supportive literature on the exact method of management. We herein present a 20-year-old male with a severely comminuted head of proximal phalanx fracture with dislocation of the PIP joint, which was not reconstructable but was managed successfully with a novel technique of volar plate draping that resurfaced the raw phalangeal head. A 3-year follow-up of the patient, whose finger has full, painless, and complete functional range of movement, gives us the belief that this procedure can provide a fully functional finger where other methods fail to do so.

Keywords

Volar Plate - PIP Joint Fractures - Proximal Phalanx Head Fractures - Resurfacing - Arthroplasty

Patients' Consent

Written informed consent was obtained from all subjects before the study.




Publication History

Article published online:
02 July 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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