Format

Send to

Choose Destination
Hand (N Y). 2018 Jul;13(4):376-383. doi: 10.1177/1558944717735947. Epub 2017 Oct 27.

Proximal Phalanx Fracture Management.

Author information

1
1 University Clinic Düsseldorf, Germany.
2
2 University of Pittsburgh Medical Center, PA, USA.

Abstract

BACKGROUND:

The goal of proximal phalangeal fracture management is to allow for fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons.

METHODS:

We reviewed the most current literature on various treatment methods of proximal phalanx fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions.

RESULTS:

Stable fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized.

CONCLUSIONS:

Clinical success is achieved when acceptable fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.

KEYWORDS:

K-wire; fracture; phalanx; plate; screw; stability

PMID:
29078727
PMCID:
PMC6081790
[Available on 2019-07-01]
DOI:
10.1177/1558944717735947

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center