Irreducible Traumatic Miki Type II Dislocation of Hallucal Interphalangeal Joint: An Insight into this Rare Injury PD01-PD03
Flat 9A, Park View Apartments, Convent Junction, Market Road, Ernakulam, Kerala, India.
Complex irreducible dislocation of the Interphalangeal Joint (IPJ) of the great toe is a rare injury, due to the inherent stability of the joint. Miki has classified these injuries into two types, and this article is on a case of complex type II dislocation managed by open reduction and internal fixation. These rare injuries, especially the type II variety, invariably need surgical management and overzealous attempts at closed reduction must be avoided as it risks injury to critical neurovascular and joint supporting structures, leading to poorer patient outcomes. An extensive comparative review of literature is presented here along with the optimal surgical approach, technique and post-operative rehabilitation, so as to maximise patient outcomes following these rare and challenging injuries.