Intraarticular PIP finger fracture--Percutaneous screw fixation

Optimal operative treatment of Intraarticular finger fractures, especially of the proximal interphalangeal joint (PIP) is challenging.  Closed pinning and open plating can both cause significant stiffness and delays in rehabilitation. 

In select fractures, I have been moving more toward a minimally open approach with percutaneous screw fixation.  This allows for less scarring, and improved stability to help patients begin their rehab with Occupational Therapy more quickly and get a more full restoration of function.

This video highlights one such recent patient.