Reconstruction of Proximal Interphalangeal Joint Instability with Autogeneous Iliac Bone-Ligament-Bone Graft: A Case Report

Park,  Hyun Sik; Park,  Il Jung; Kim,  Yong Hoon; Kim,  Sang Soo

Journal of the Korean Society for Surgery of the Hand 2010;15(1):27-30.
Published online March 1, 2010.

Hyun Sik Park, Il Jung Park, Yong Hoon Kim, Sang Soo Kim

¹Department of Orthopaedic Surgery, Seoul Micro Hospital, Seoul, Korea. plexuskim@gmail.com
²Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon, Korea.

Abstract

We report the case of radial collateral ligament injury of proximal interphalangeal joint with bone defect by machinery grinder injury which was reconstructed using autogeneous iliac bone-ligament-bone graft. A heterodigital neurovascular island flap was performed to cover the skin defect. At 6 weeks follow-up, adduction stress endurance was enough to hold objects in usual life, but stiffness remained. The collateral ligament reconstruction using bone-ligament-bone graft is suggested for chronic instability or acute ligament defect of PIP joint.