PIP Joint ORIF – Franko

History: A 19 year old gentleman injured his middle finger joint while punching a wall.  He presented to my office with an inability to flex and extend his middle finger and with pain and swelling. 

Diagnosis: Middle finger PIP joint intra-articular fracture with subluxation, moderately improved with traction

Treatment: Middle phalanx open reduction, internal fixation with screws

Outcome: He did exceptionally well.  At his first post-op visit he could nearly make a full fist and within 2 months he had nearly full motion without any pain.