Journal article
Intramedullary nailing of proximal phalangeal fractures
The Journal of hand surgery (American ed.), Vol.20(5), pp.808-812
1995
DOI: 10.1016/S0363-5023(05)80436-8
PMID: 8522749
Abstract
A retrospective review of 25 consecutive patients with 28 proximal phalangeal fractures was performed. Fractures of the thumb were excluded. Twenty-five fractures were closed and three were open. All fractures were reduced, closed, and fixed using flexible intramedullary fixation with 0.8-mm prebent nails. Fractures amenable to flexible intramedullary fixation include short oblique and transverse fractures. Contraindications include long oblique, spiral, and bicortical comminuted fractures. The average follow-up time was 10 months (range, 2–20). Five patients with six fractures were lost to follow-up evaluation. All of the remaining 23 fractures healed and there were no infections. An average of 2
o angulation was seen on anteroposterior x-ray films. One patient showed 4
o of angulation on the lateral x-ray film. No shortening was noted. One fracture showed appreciable malrotation of 10
o. Flexible intramedullary rodding of specific proximal phalangeal fractures provides excellent results with a low complication rate. Proper selection of fractures and good surgical technique are necessary to avoid complications.
Details
- Title: Subtitle
- Intramedullary nailing of proximal phalangeal fractures
- Creators
- Mark H GonzalezCassim M IgramRobert F Hall
- Resource Type
- Journal article
- Publication Details
- The Journal of hand surgery (American ed.), Vol.20(5), pp.808-812
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S0363-5023(05)80436-8
- PMID
- 8522749
- ISSN
- 0363-5023
- eISSN
- 1531-6564
- Language
- English
- Date published
- 1995
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040476302771
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