Trans-Web Approach for Fixation of Avulsion Fractures of the Proximal Phalangeal Base: Report of Two Cases

Received 31 July 2009; accepted 2 November 2009. published online 11 January 2010.

Although displaced fractures of the lateral aspect of the base of the proximal phalanx can be treated surgically, previously described approaches to the fracture are not necessarily easily performed. We describe a trans-web approach to the metacarpophalangeal joint and report 2 clinical cases. This technique allows the fracture fragments to be reduced and fixed with minimal risk of damage to the adjacent structures.

Key words: Lateral base fracture of proximal phalanx, metacarpophalangeal joint, trans-web approach

Department of Orthopaedic Surgery, Kashima Rosai Hospital, Kamisu, Ibaraki Pref., Japan

Corresponding author: Eichi Itadera, MD, PhD, Department of Orthopaedic Surgery, Kashima Rosai Hospital, 1-9108-2 Doai-Honcho, Kamisu, Ibaraki Pref. 314-0343, Japan

No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

PII: S0363-5023(09)00948-4

doi:10.1016/j.jhsa.2009.11.002

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