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Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures.
Journal article

Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures.

  • Giesen T Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland t_giesen@hotmail.com.
  • Gazzola R Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
  • Poggetti A Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
  • Giovanoli P Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
  • Calcagni M Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
  • 2016-04-09
Published in:
  • The Journal of hand surgery, European volume. - 2016
Proximal phalanx
compression screw
finger fracture
headless screw
intramedullary splinting
middle phalanx
osteosynthesis
osteosynthesis in the hand
phalanx fracture
phalanx fracture fixation
Adolescent
Adult
Aged
Aged, 80 and over
Bone Screws
Cohort Studies
Early Ambulation
Female
Finger Phalanges
Fracture Fixation, Intramedullary
Fractures, Bone
Humans
Male
Middle Aged
Treatment Outcome
Young Adult
English UNLABELLED
We present the results of 26 patients with 31 consecutive displaced or unstable extra-articular fractures of the base and shaft of the proximal and middle phalanges of the digits of the hand, treated over a period of 12 months with an intramedullary headless compression screw and early mobilization with no splinting. All fractures healed with no major complications. Only one patient, who had a pathological fracture through an enchondroma, required a tenolysis to improve the mobility of the finger. This technique seems to be technically simple, effective and with few drawbacks.


LEVEL OF EVIDENCE
IV.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/235995
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