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

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/27056277
http://jhs.sagepub.com/content/early/2016/04/06/1753193416641330.long
De:
Giesen T¹, Gazzola R², Poggetti A², Giovanoli P², Calcagni M².
J Hand Surg Eur Vol. 2016 Apr 7. pii: 1753193416641330. [Epub ahead of print] Todos los derechos reservados para:
© The Author(s) 2016.

Abstract

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.

Resumen

Se presentan los resultados de 26 pacientes con 31 fracturas extra-articulares desplazadas o inestables consecutivas de la base y el eje de la falanges proximales y medias de los dedos de la mano, tratados durante un período de 12 meses con un tornillo de compresión sin cabeza intramedular y principios movilización sin entablillado. Todas las fracturas curadas sin mayores complicaciones. Sólo un paciente, que tenía una fractura patológica a través de un enchondroma, requiere un tenólisis para mejorar la movilidad del dedo. Esta técnica parece ser técnicamente simple, eficaz y con pocos inconvenientes.

LEVEL OF EVIDENCE:

KEYWORDS:

Proximal phalanx; compression screw; finger fracture; headless screw; intramedullary splinting; middle phalanx; osteosynthesis; osteosynthesis in the hand; phalanx fracture; phalanx fracture fixation

PMID: 27056277 [PubMed – as supplied by publisher]