BACKGROUND: The goal of proximal phalangeal fracture management is to allow for fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. METHODS: We reviewed the most current literature on various treatment methods of proximal phalanx fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. RESULTS: Stable fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized. CONCLUSIONS: Clinical success is achieved when acceptable fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.
BACKGROUND: The goal of proximal phalangeal fracture management is to allow for fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. METHODS: We reviewed the most current literature on various treatment methods of proximal phalanx fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. RESULTS: Stable fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized. CONCLUSIONS: Clinical success is achieved when acceptable fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.
Authors: T Franz; U von Wartburg; S Schibli-Beer; F J Jung; A R Jandali; M Calcagni; U Hug Journal: J Hand Surg Am Date: 2012-04-05 Impact factor: 2.230
Authors: Francisco del Piñal; Eduardo Moraleda; Jaime S Rúas; Guillermo H de Piero; Luis Cerezal Journal: J Hand Surg Am Date: 2015-02-07 Impact factor: 2.230
Authors: Jonathan A Zelken; Austin G Hayes; Brent G Parks; Abdullah Al Muhit; Kenneth R Means Journal: J Hand Surg Am Date: 2015-03-31 Impact factor: 2.230
Authors: T A Blaine; R N Rosier; J E Puzas; R J Looney; P R Reynolds; S D Reynolds; R J O'Keefe Journal: J Bone Joint Surg Am Date: 1996-08 Impact factor: 5.284