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Journal of Orthopedic Education 12(2):p 47-50, May-August 2026. | DOI: https://doi.org/10.21088/joe.2454a.7956.12226.3
Case Report
Non-invasive Stainless Steel Hook Anchor Dynamic Traction Technique for Reduction of Interphalangeal Joint Injuries: A Low-Cost Innovative Method
Ravi Kumar Chittoria, Mahil Mahajan, Aayushree Bhagat
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Journal of Orthopedic Education 12(2):p 47-50, May-August 2026. | DOI: https://doi.org/10.21088/joe.2454a.7956.12226.3
How Cite This Article:
Mahil Mahajan, Ravi Kumar Chittoria, Aayushree Bhagat. Non-invasive Stainless Steel Hook Anchor Dynamic Traction Technique for Reduction of Interphalangeal Joint Injuries: A Low-Cost Innovative Method. Jr. Orth. Edu. 2026; 12(2): 47–50Timeline
Received : May 22, 2026
Accepted : June 26, 2026
Published : August 30, 2026
Abstract
Interphalangeal joint injuries remain challenging because of the small articular surface and the high propensity for post-immobilization stiffness. Conventional dynamic traction systems commonly utilise transosseous Kirschner wire fixation, which increases procedural complexity, soft tissue trauma, and implant-related complications. We describe a novel non-invasive dynamic traction technique utilizing stainless steel hook anchors externally mounted over adhesive bandages using silk sutures reinforced with cyanoacrylate adhesive. The construct serves as an external traction anchor system for elastic rubber band-mediated distraction across the PIP joint. Reduction is achieved through ligamentotaxis without the need for skeletal fixation. The technique is inexpensive, reproducible, minimally invasive, and particularly suitable for low-resource settings.
References
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- 2. Hynes MC, Giddins GE. Dynamic external fixation for pilon fractures of the interphalangeal joints. J Hand Surg Br. 2001;26(2):122-124.
- 3. Ruland RT, Hogan CJ, Cannon DL, Slade JF. Use of dynamic distraction external fixation for unstable fracture-dislocations of the proximal interphalangeal joint. J Hand Surg Am. 2008;33(1):19-25.
- 4. Bain GI, Mehta JA, Heptinstall RJ, Bria M. Dynamic external fixation for injuries of the proximal interphalangeal joint. Tech Hand Up Extrem Surg. 1998;2(4):199-203.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Mahil Mahajan, Ravi Kumar Chittoria, Aayushree Bhagat. Non-invasive Stainless Steel Hook Anchor Dynamic Traction Technique for Reduction of Interphalangeal Joint Injuries: A Low-Cost Innovative Method. Jr. Orth. Edu. 2026; 12(2): 47–50
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| May 22, 2026 | June 26, 2026 | August 30, 2026 |
DOI: https://doi.org/10.21088/joe.2454a.7956.12226.3
Keywords
TractionInterphalangeal JointLow-CostInnovativeMethodSearch for Similar Articles
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Timeline
| Received | May 22, 2026 |
| Accepted | June 26, 2026 |
| Published | August 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
