Closed Proximal Phalangeal Fracture Management in Hand: An Outcome Analysis
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 9
Abstract
Introduction: The proximal phalanx (PP) of the fingers is fractured more frequently than the middle or even distal phalanges. The problems of malunion, stiffness, and sometimes loss of skin or other soft tissue associated with PP fracture increases the disability. Aim: The objective of the study was to analyze the treatment outcome in a series of closed proximal phalangeal fractures of the hand. Materials and Methods: All acute and delayed presentation of closed proximal phalangeal fracture patients was included in the study. The treatment modalities were conservative treatment and surgical treatment. Results: Most commonly performed procedure was open reduction and internal fixation (ORIF) (58%). Postoperatively, total range of movements achieved up to 270° in 83% of patients treated with ORIF. Grip strength is achieved up to ≥90% of normal strength in 90% of patients treated with ORIF, 83% of patients in patients treated with post-operative pain (POP), 67% of patients treated with an external fixator. Pinch strength achieved up to ≥90% of normal strength in 97% of patients treated with ORIF, 92% of patients treated with POP, and 89% of patients treated with an external fixator. Conclusion: External fixator for hand injuries is a cheap, technically less demanding and effective procedure. This procedure is mainly used in communited and intra-articular fractures.
Authors and Affiliations
R Senthilkumar, E Kovarthini, Heber Anandan
Keywords
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