Proximal Phalanx Fracture Management

Abstract

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

Ekstraartiküler Proksimal Falanks Kırıklarında Kapalı Redüksiyon ve Kirschner Teli Tespitin Klinik ve Radyolojik Sonuçları

“…The study had limiting factors such as; being retrospective, heterogeneous fracture types and relatively low number of patients. In this context, studies which are prospective, randomized controlled, with greater number of patients with similar type of extra-articular proximal phalangeal fractures comparing different types of fixation are required in determining the best method, but still we believe that this study will be a significant contribution to the literature The proximal phalanx (16) is 'small in size' for the body and 'functioning big' for the upper limb. Fractures of the proximal phalanges can be fixed with Kirshner wires after failed stabilization with closed reduction and brace fixation.…”

“…Proximal phalangeal fractures are frequently encountered orthopedic injuries (12,16).The first step in deciding the proper treatment is evaluation of the stability of the fracture (17).Successful results can be achieved with conservative treatment methods (short arm brace application, buddy taping) in stable fractures (4,7,18). Stiffness is more likely to develop in a fractured finger which had been treated conservatively with a longer immobilization period other than a less immobilized operated finger.…”

Adhesions as an Uncommon Complication of K-Wiring in Paediatric Phalangeal Fractures

“…A recent cadaveric study showed that K-wires placed away from the extensor tendon has less tethering effect than those placed through or adjacent to the extensor tendon (Sela et al 2016). However, there is still much debate as to whether there is a significant difference between periarticular or transarticular wire placement (Logters et al 2017).…”

Finite Element Analysis of Miniplate for Post-Fracture Finger Rehabilitation Device

“…To rehabilitate the fracture in the finger, the implantation of the miniplate, as shown in Fig. 1, is the management that must be done (Demino, Yates, & Fowler, 2019;Lögters, Lee, Gehrmann, Windolf, & Kaufmann, 2018). Figure. 1.…”