RaquelBorja
Contributor
After dissection of the skin and subcutaneous tissue, the adhesions on the radial and ulnar sides of the PIP joint were released. The volar plate was found to be avulsed from the middle phalanx. The decision was made after examining the nonunion site that it will be very difficult to break this nonunion site and fix with a K-wire. So the patient had full range of motion passively when we tried to see how much motion he will have, and decision was made just to release the volar plate proximally and advance distally. The plate was repaired with 4-0 prolene suture.