Outcome of closed proximal phalangeal fractures of the hand. Actualizaciones en cirugia ortopedica y traumatologia. Nonunion and malunion of distal phalanx can be effectively treated through an. Screw fixation for certain fractures of the phalanges and metacarpals. Fractures of the proximal phalanges of the hands can be treated by many methods. Allen y dautel clasifican las lesiones en cuatro zonas o niveles figura 4. The proximal phalanx pp of the fingers is fractured more frequently than the middle or even distal phalanges. With surgical intervention, a loss in proximal interphalangeal joint movement is common. Eightyfour proximal phalangeal fractures in 68 patients were. Therapy includes immediate mobilization by use of a continuous passive motion machine and controlled active motion. It occasionally occurs in the distal phalanx of the fingers.
S117 ao pediatric comprehensive classification of long bone fractures pccf. Minimally invasive fixation of fractures of the phalanges. Fractures, head of proximal phalanx, neck of proximal phalanx, malunion, nonunion. Closed proximal phalangeal fracture management in hand. Operative treatment for proximal phalangeal neck fractures of the finger in children article pdf available in yonsei medical journal 464. Pdf operative treatment for proximal phalangeal neck. Purpose to present the technique, indications, and outcomes of metacarpal and phalangeal fractures fixed with intramedullary cannulated headless screws. The objective of the study was to analyse the treatment outcome in a series of closed proximal phalangeal fractures of the hand.
Fractures of the metacarpals and phalanges are the second. Phalangeal fractures of the hand are characterized by a great diversity of fracture patterns. Using the stabilizing effect of the zancolli complexmetacarpophalangeal retention apparatus and an external device such as a thermoplastic metacarpophalangeal block splint, proximal phalangeal fractures can be stabilized in. Fracturas generalidades jose ricardo palomeque saenz. Outcome of closed proximal phalangeal fractures of the.
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