![]() 10The ideal, in seeking to diminish the postoperative complications, is to combine less invasive techniques with better implant stability, in order to enable early mobilization of the fractured finger. They are usually treated as insignificant injuries, but this results in functional limitation 4in an economically important population.Įvolution in treatments for fractures of the proximal phalanx is a necessity in our setting, given that the incidence of this fracture has been increasing exponentially and the published results from the established methods are unconvincing. Both of these methods were used on fractures of the diaphysis of the proximal phalanx that followed a transverse line.įractures of the proximal phalanx are most prevalent among males between the ages of 10 and 40 years. The objective of this study was to compare the mechanical parameters of two methods of stabilization through compression: a 1.5 mm axial compression plate versus a conical compression screw used as an intramedullary tutor. We describe this novel technique in the present study. Another option would be to use the principle of an intramedullary internal tutor, 10 11such as a conical compression screw (Acutrak (r)), to be placed percutaneously. 9described lateral positioning of the plate in which the extensor tendon was left untouched so as to avoid tendon adherence and joint stiffness. In seeking to minimize these complications, Mantovanni et al. These complications are often caused by poor knowledge of the biomechanics of this organ an unfounded belief that all fractures of the hand can be resolved through conservative treatment or poor cooperation from the patient. A combination of methods is sometimes necessary, 6and this depends on the nature of the fracture line, the availability of implants and the surgeon's preference.Īmong the surgical complications, the following can be highlighted: joint stiffness, adherence and/or tearing of the extensor tendon, 1functional loss of the finger 2or, additionally, skewed consolidation, pseudarthrosis and osteomyelitis. The techniques that have been described range from seeking relative stability to the principle of absolute stability. 3The aim of surgical treatment is to restore the anatomy and function of the affected finger. Indications for surgical treatment for these fractures need to take into consideration the type of fracture line, the displacement between the fragment and the difficulty in maintaining closed reduction of the fracture. 1 2The proximal phalanx is fractured more frequently than the middle or distal phalanges. Fracture of the phalanges are frequent injuries and account for 6% of all fractures.
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