Extra-Articular Osteotomy for Malunited Unicondylar Fractures of the Proximal Phalanx

Harness, Neil G.; Chen, Alvin; Jupiter, Jesse B.

doi:10.1016/j.jhsa.2004.12.003

Cited by 25 publications

(14 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the remodeling potential of phalangeal neck fracture malunions in children has been controversial. [6][7][8][9][11][12][13][14] In the conservative of the present study, sagittal angulation was improved about 6 degrees and sagittal translation was improved about 7%. In the conservative group, a 4-year-old girl exhibited remarkable remodeling and other older children showed minor remodeling.…”

Section: Discussionmentioning

confidence: 77%

“…2 Because of these characteristics, many surgeons recommend anatomic reduction and fixation of phalangeal neck fractures even in young children. [6][7][8][9] However, surgical treatment, particularly open reduction, can lead to adhesions and joint stiffness, and can result in nonunion and potential necrosis of the small distal fragment. 10 However, the patient's age is an advantage for remodeling in phalangeal neck fractures in children, and some authors [11][12][13][14] have presented reports on the remarkable remodeling potential of phalangeal neck fractures in children, particularly in cases of sagittal displacement.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Comparison Between Buddy Taping With a Short-Arm Splint and Operative Treatment for Phalangeal Neck Fractures in Children

Park

Lee

Kwak

2016

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 77%

mentioning

confidence: 99%

Comparison Between Buddy Taping With a Short-Arm Splint and Operative Treatment for Phalangeal Neck Fractures in Children

Park

Lee

Kwak

2016

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

“…However, for the correction of phalangeal malunions, it is debated whether an extra-anatomic metacarpal or an anatomic phalangeal osteotomy should be performed, and whether intra-articular malunions should be corrected intra-or extra-articularly. 3,7,14,40,44 Available literature about metacarpal and phalangeal corrective osteotomies mainly consists of reports on small cohorts analyzed retrospectively. 13 Satisfactory outcomes in terms of precision of the reduction and improvement of hand function have been described for osteotomies based on conventional x-ray.…”

Section: Introductionmentioning

confidence: 99%

Corrective Osteotomies of Phalangeal and Metacarpal Malunions Using Patient-Specific Guides: CT-Based Evaluation of the Reduction Accuracy

Hirsiger

Schweizer

Miyake

et al. 2017

Hand (New York, N,Y.)

View full text Add to dashboard Cite

BACKGROUND Surgical planning of corrective osteotomies is traditionally based on conventional radiographs and clinical findings. In the past 10 years, 3-dimensional (3D) preoperative planning approaches with patient-specific guides have been developed. However, the application of this technology to posttraumatic deformities of the metacarpals and phalangeal bones has not yet been investigated. Our goal was to evaluate the feasibility of the surgical application to the latter and to evaluate the extent and precision of correction. METHODS We present results of 6 patients (8 osteotomies) treated with phalangeal or metacarpal corrective osteotomy. Deformities were located in the third ray in 1, fourth ray in 3, and fifth ray in 4 cases. Six malunited metacarpal bones (1 intra-articular) and 2 deformed proximal phalanges were treated. Computer-based 3D preoperative planning using the contralateral hand as a template allowed the production of 3D-printed patient-specific guides that were used intraoperatively for navigation. The precision of the reduction was assessed using pre-and postoperative computed tomography by comparing the postoperative bone model with the preoperatively simulated osteotomy. Range of motion and grip strength were documented pre-and postoperatively. RESULTS The mean follow-up time was 6 months (range: 5-11 months). Rotational deformity was reduced from a mean of 10.0°(range: 7.2°-19.3°) preoperatively to 2.3°(range: 0.7°-3.7°) postoperatively, and translational incongruency decreased from a mean of 1.4 mm (range: 0.7-2.8 mm) to 0.4 mm (range: 0.1-0.9 mm). CONCLUSION Preliminary results indicate that a precise reduction for corrective osteotomies of metacarpal and phalangeal bones can be achieved by using 3D planning and patient-specific guides.

show abstract

“…A malunion that has a high degree of comminution is technically demanding and surgical restoration of the concentric reduction is fraught with potential risks, such as loss of fixation, avascular necrosis, or loss of joint mobility. 107 Thus, surgeons may be more comfortable with the volar plate arthroplasty or hemi-hamate autograft procedure.…”

Section: Malunionmentioning

confidence: 99%

Complications of Proximal Interphalangeal Joint Injuries

2018

View full text Add to dashboard Cite

Proximal interphalangeal joint injuries are one of the most common injuries of the hand. The severity of injury can vary from a minor sprain to a complex intra-articular fracture. Because of the complex anatomy of the joint, complications may occur even after an appropriate treatment. This article provides a comprehensive review on existing techniques to manage complications and imparts practical points to help prevent further complications after proximal interphalangeal joint injury.

show abstract

Extra-Articular Osteotomy for Malunited Unicondylar Fractures of the Proximal Phalanx

Cited by 25 publications

References 10 publications

Comparison Between Buddy Taping With a Short-Arm Splint and Operative Treatment for Phalangeal Neck Fractures in Children

Comparison Between Buddy Taping With a Short-Arm Splint and Operative Treatment for Phalangeal Neck Fractures in Children

Corrective Osteotomies of Phalangeal and Metacarpal Malunions Using Patient-Specific Guides: CT-Based Evaluation of the Reduction Accuracy

Complications of Proximal Interphalangeal Joint Injuries

Contact Info

Product

Resources

About