HAND & WRIST
High risk of complications with surgical treatment of unstable palmar plate disruption
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by one or more authors of the
original publication.
Strategies Trauma Limb Reconstr. 2013 Apr;8(1):21-4. doi: 10.1007/s11751-013-0154-y. Epub 2013 Feb 23
83 patients with unstable palmar plate disruption in the proximal interphalangeal (PIP) joint were randomized to receive either conservative or surgical treatment in order to determine which method was more effective. Evaluations over a 12 month period indicated that pain scores, range of motion, and hyperextension instability outcomes were all similar between groups. However, the incidence of complications was much higher in patients treated surgically compared to those treated conservatively.
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