Traction Splints: Effective Nonsurgical Way of Managing Proximal Phalanx Fractures

Koul, Ashok Raj; Patil, Rahul K; Philip, Vinoth Kumar

doi:10.1097/ta.0b013e31817e5ca8

Cited by 10 publications

(11 citation statements)

References 14 publications

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“…They did not apply traction on the finger. In their series they reported excellent results in 72%, good in 22% and fair to poor in 6% of the cases, similar to Koul et al13) However, their results for patients younger than 50 years were significantly better compared to older patients. They suggested the splint to be continued for 3 to 4 weeks while in our study the splint was removed at the 12th day in more than 80% of cases.…”

Section: Discussionsupporting

confidence: 75%

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Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases

2012

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BackgroundProximal phalangeal fractures are common fractures of the hand. The fractures are difficult to treat because of vicinity of two important joints and crossing long tendons. The purpose of this study was to evaluate the efficacy of nail traction technique in the management of proximal phalangeal fractures of the hand.MethodsPatients (n=43) with proximal phalangeal fractures were treated by nail traction and evaluated prospectively. We assessed all the patients at the time of presentation and then followed a standard protocol for recruiting patients. After application of nail traction, the patients were initially assessed at 12th day. The outcome measures included post reduction radiographic evaluation and total active motion (TAM) in finger at the final follow-up appointment. All the patients were followed for one year.ResultsThe post-reduction X-ray evaluation showed good reduction in 33 cases, fair reduction in 8 and poor reduction in 2 cases. At final assessment, 35 patients had good TAM score, six had fair and two had poor TAM score. Complications were noted in two patients and these included pressure necrosis in palm and stiffness in proximal interphalangeal joint.ConclusionsThe results of this prospective study show that with careful selection of patients, nail traction seems to be simple, safe and effective technique for managing proximal phalangeal fractures.

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Section: Discussionsupporting

confidence: 75%

“…Koul et al13) reported the results of 39 proximal phalangeal factures treated with a custom made traction splint. They used adhesive glue to fix the traction to an over nail plate and reported excellent results in 72% of the patients, good results in 22% and poor results in 6%.…”

Section: Discussionmentioning

confidence: 99%

Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases

2012

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“…Other papers have supported these good outcomes with conservative management for stable extra-articular fractures [71, 83]. …”

Section: Extra-articular Phalangeal Fracturesmentioning

confidence: 83%

Principles of Hand Fracture Management

Haughton¹,

Jordan²,

Malahias³

et al. 2012

TOORTHJ

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The hand is essential in humans for physical manipulation of their surrounding environment. Allowing the ability to grasp, and differentiated from other animals by an opposing thumb, the main functions include both fine and gross motor skills as well as being a key tool for sensing and understanding the immediate surroundings of their owner. Hand fractures are the most common fractures presenting at both accident and emergency and within orthopaedic clinics. Appropriate evaluation at first presentation, as well as during their management, can significantly prevent both morbidity and disability to a patient. These decisions are dependant on a wide range of factors including age, hand dominance, occupation and co-morbidities.A fracture is best described as a soft tissue injury with an associated bony injury. Despite this being the case, this paper intends to deal mainly with the bone injury and aims to discuss both the timing, as well as the methods available, of hand fracture management.

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“…Surgical treatment should be commonly chosen in open fractures that are unstable, which are not easily-reduced and have with soft tissue trauma [3] , [5] . Because of the lack of soft tissue trauma, favored joint movements after the healing of the fracture can be achieved more easily with conservative treatment; however, the fracture must be closely followed up [6] .…”

Section: Discussionmentioning

confidence: 99%

Concomitantly intra-articular fracture of proximal condylar second and third proximal phalanges: A rare case report

Kömür

Güler

Mutlu

et al. 2016

International Journal of Surgery Case Reports

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Traction Splints: Effective Nonsurgical Way of Managing Proximal Phalanx Fractures

Abstract: Proximal phalangeal fractures can be effectively treated by closed methods, using the stabilizing effect of soft tissues (zancolli complex-metacarpophalangeal retention apparatus) and external devices (traction splints), thus enabling bone healing and movement recovery at the same time.

Cited by 10 publications

References 14 publications

Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases

Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases

Principles of Hand Fracture Management

Concomitantly intra-articular fracture of proximal condylar second and third proximal phalanges: A rare case report

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