Surgical management of closed, isolated proximal phalanx fractures in the long fingers: Functional outcomes and complications of 87 fractures

Sant, A.-S. Desaldeleer-Le; Sant, Anthony Le; Beauthier-Landauer, V.; Kerfant, N.; Nen, D. Le

doi:10.1016/j.hansur.2016.08.009

Cited by 12 publications

(6 citation statements)

References 31 publications

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“…Studies have demonstrated comparable functional outcomes with the use of lag screw in terms of the range of motion, DASH score and grasping strength, although the time to return to work was longer as compared to fixation with miniplate. 20 , 21 Despite good clinical outcomes, the use of lag screws is limited to a subset of hand fractures with a particular fracture pattern. In addition, minor drilling errors may lead to implant loosening with little scope for correction due to limited bone stock in small bones of the hand, making the loss of fixation a common complication.…”

Section: Discussionmentioning

confidence: 99%

Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study

Ansari¹,

Ahmad²,

Gupta³

et al. 2022

Strategies in Trauma and Limb Reconstruction

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A bstract Background Various modalities of treatment have been used for the management of metacarpal and phalangeal fractures which include K-wire fixation, mini plates, lag screws fixation, intramedullary screw fixation and external fixator application. The aim of this study was to analyse complications and patient-related functional outcomes after antegrade or retrograde crossed intramedullary K-wire fixation of metacarpal and proximal phalangeal fractures. Methods Thirty-one patients (36–fractures, 16–metacarpals, 20–proximal phalanx) meeting the study criteria were included in this prospective study. Fixation of the fractures was done by use of crossed intramedullary K-wire using the principles of 3-point fixation. Results The mean preoperative angulation of the fractures noted in this study was 35.8° which was significantly reduced at final follow-up. Union was noted at a mean period of 4.2 ± 6.8 weeks. The mean range of motion at the metacarpophalangeal and proximal interphalangeal joint was 96.4% and 86.3%, respectively as compared to the opposite hand. Stiffness ( n = 3, 14.2%) and persistent pain ( n = 2, 9.5%) at the joints were the most common complications noted in this study. Conclusion Crossed percutaneous intramedullary fixation of small bone fractures of the hand is a versatile method with advantages such as cost-effectiveness and lesser operative time when compared to other modalities of fixation. Earlier range of motion (ROM) exercises can be started due to preservation of gliding planes, no surgical wound along with good fracture stability and minimal hardware impingement. How to cite this article Ahmad S, Gupta T, Ansari S, et al . Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study. Strategies Trauma Limb Reconstr 2022;17(2):74–80.

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Section: Discussionmentioning

confidence: 99%

Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study

Ansari¹,

Ahmad²,

Gupta³

et al. 2022

Strategies in Trauma and Limb Reconstruction

View full text Add to dashboard Cite

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“…For bone healing, accurate reduction and proper fixation are necessary. For functional recovery, joint contractures and tendon adhesions must be prevented with adequate postoperative therapy combined with proper immobilization [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Interosseous wiring for fragmented proximal phalangeal fractures

Teraura

Sakanaka

Gotani

2022

Case Reports in Plastic Surgery and Hand Surgery

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“…10 The PRWHE is a hand/wrist-specific questionnaire that has good measurement properties for the evaluation of traumatic hand injuries and has been used before for the assessment of finger functionality. 11 We chose the PRWHE instead of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire as our functional outcome measure as its items focus more on hand problems in contrast to elbow- and shoulder-related issues. Furthermore, we have experience using it as an outcome measure for hand functionality.…”

Section: Methodsmentioning

confidence: 99%

Delayed Extension Block Pinning in 27 Patients With Mallet Fracture

Kootstra

Keizer

Heijl

et al. 2019

Hand (New York, N,Y.)

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Background: Untreated bony mallet fingers can cause an array of problems; therefore, adequate treatment is essential. The primary aim of this study was to determine the patient-reported functional outcome of delayed surgical intervention of bony mallet fingers. The secondary aim was to determine the complication rate of delayed surgical intervention. Methods: In this single-center retrospective cohort study, all consecutive patients treated between 2010 and 2016 at our level 2 regional teaching hospital were included. Inclusion criterion was a bony mallet finger injury (excluding the thumb), presenting >21 days after injury, treated with extension block pinning. Indications for surgery were >2 mm fragment displacement or volar subluxation of the distal interphalangeal joint. Six to 82 months postoperatively, patients completed the Patient-Rated Wrist and Hand Evaluation (PRWHE) by phone. Complications were extracted by chart review. Results: Twenty-seven patients were included, and all completed the PRWHE. Median time to surgery was 35 days (interquartile range [IQR] = 29-42; range = 22-61). Reasons for delay in surgical treatment were patient/physician delay in 24 cases and failed conservative treatment in 3 cases. The median PRWHE score was 0 (IQR = 0-5; range = 0-22.5). After retrospective assessment of the outpatient charts, no early symptoms of malunion or nonunion were found. One patient had a loss of Kirschner-wire fixation, which was corrected. Three patients had an infection that required antibiotic treatment. Conclusions: Delayed surgical management of bony mallet fingers demonstrated adequate functional outcome with minimal complications when compared with prior literature.

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Surgical management of closed, isolated proximal phalanx fractures in the long fingers: Functional outcomes and complications of 87 fractures

Cited by 12 publications

References 31 publications

Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study

Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study

Interosseous wiring for fragmented proximal phalangeal fractures

Delayed Extension Block Pinning in 27 Patients With Mallet Fracture

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