PIPJ Reconstruction After Trauma

Chapter 4 of Volume 1, Hand & Upper Limb. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

12 viva questions in this chapter

1. What makes the proximal interphalangeal joint stable?
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2. How would you classify this injury?
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3. How do you decide whether this joint is stable?
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4. A rugby player with a dorsally dislocated PIP joint. How do you manage him?
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5. This one re-subluxates at 40 degrees. What are your options?
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6. The volar lip is comminuted and involves 60% of the base. Now what?
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7. Tell me about dynamic external fixation. When would you use it?
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8. How is a pilon fracture different, and how would you treat it?
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9. How would you test for a central slip injury, and how good is the test?
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10. He presents eight weeks after injury with a fixed dorsal subluxation. What now?
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11. The joint is destroyed. Fuse it, replace it, or amputate?
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12. Is there a UK guideline for this?
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