Primary Repair for the Ruptured Collateral Ligaments of Proximal Interphalangeal Joints using Suture Anchor System

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Journal of the Korean Society for Surgery of the Hand 2006;11(1):43-47.
Published online March 1, 2006.

Inhyeok Rhyou, Chaeik Chung, Bo Gun Suh, Byoung Won Ko, Hyun Kyoo Park

수지 근위지 관절 측부 인대의 완전 파열에 대한 Suture Anchor System을 이용한 일차적 봉합술

류인혁, 정재익, 서보건, 고병원, 박현규

Abstract

Purpose
To evaluate the results of primary repair of the collateral ligaments of the proximal interphalangeal joints using suture anchor in patients with complete ruptures. Materials and Methods: We reviewed the results of primary repair retrospectively in nine patients who had complete ruptures of the collateral ligament of the proximal interphalangeal finger joints. The avulsed collateral ligaments were repaired to the radial side of the proximal phalanx using suture anchor system. Active range of motion exercise was allowed after immobilization for one week. The average age was 40.6 years. The injured fingers were one index, 6 rings, and two small fingers. Pain, range of motion, and residual instability were analyzed after more than 6 months follow-up. Results: Pain disappeared within 4 weeks postoperatively in 8 patients. One patient had wound infection, which resolved without problem. No residual instability was observed in all patients. All fingers showed full range of motion except two patients with mild contractures. Conclusion: Primary repair of the collateral ligaments of the proximal interphalangeal joint using suture anchor has the advantages of early pain relief and recovery of functions. The results are comparable to the non-surgical treatment.

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