Bridge Plating with Masquelet Technique for Ballistic Proximal Interphalangeal Joint Injury

CASE A 70-year-old man sustained a ballistic injury to the proximal interphalangeal (PIP) joint of his left index finger. He was treated with bridge plate osteogenesis with staged bone grafting using an antibiotic spacer to manage bone loss. The patient demonstrated union, excellent functional recovery, and the ability to make a composite fist by 6 months. CONCLUSION Ballistic injury to the PIP joint of the finger is a challenging injury to manage. This case demonstrates that length and alignment can be maintained with good functional range of motion using a combination of bridge plate distraction osteogenesis and the Masquelet technique.