Abstract
Anatomic position, stability, and early motion are the key principles for achieving
good results with all types of intra-articular condylar fractures of the proximal
phalanx. When stabilization is necessary, soft tissue trauma should be minimized to
lessen the risk of scar formation and consequent stiffness at the proximal interphalangeal
joint. Oblique unicondylar fractures treated with 2-point (or more) Kirschner wire
or 1 (or more) mini-screw fixation(s) have the best results. This is also true of
bicondylar fractures, although mini-condylar plate fixation may achieve equally good
results in bicondylar fractures with large condylar fragments. Screw fixation is recommended
for triplane fractures. Although loss of reduction, delayed treatment, nonunion, deformity,
or arthritis may complicate these injuries, stiffness is the most frequent and serious
complication. Infection is rare. Copyright © 2001 by the American Society for Surgery
of the Hand
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References
References
- Fractures involving digits of the hand.Orthop Clin North Am. 1970; 1: 261-274
- Sprains and fractures involving the interphalangeal joints.Hand. 1971; 3: 155-158
- Distal unicondylar fractures of the proximal phalanx.J Hand Surg [Am]. 1993; 18A: 594-599
- Treatment of triplane fractures of the head of the proximal phalanx.J Hand Surg [Am]. 1999; 24A: 1263-1268
- Fixation of phalangeal fractures.Hand Clin. 1997; 13: 541-555
- Fractures of the hand.J Bone Joint Surg Br. 1984; 66B: 159-167
- Intraarticular fracture and fracture dislocations.in: The interphalangeal joints. Churchill Livingstone, London1987: 77-93
- Articular fractures.in: Fractures of the hand and wrist. Churchill Livingstone, London1988: 55-73
- Athletic injuries of the proximal interphalangeal joint requiring surgical treatment.J Bone Joint Surg Am. 1970; 52A: 937-955
- Screw fixation for certain fractures of the phalanges and metacarpals.J Bone Joint Surg Am. 1976; 58A: 487-492
- Treatment of closed articular fractures of the metacarpal, phalangeal and proximal interphalangeal joints.Hand Clin. 1988; 4: 503-527
- Open reduction and internal fixation method for fractures at the proximal interphalangeal joint.Hand Clin. 1994; 10: 239-250
- A treatment approach for isolated unicondylar fractures of the proximal phalanx.Ann Chir Main. 1997; 16: 305-309
- Phalangeal fractures-factors influencing performance.Orthop Rev. 1982; 1: 39-50
- The vascular supply to the proximal interphalangeal joint.J Hand Surg [Am]. 1985; 10A: 852-861
- Intraosseous compression wiring of displaced articular condylar fractures.J Hand Surg [Am]. 1990; 15A: 370-373
- Use of a minicondylar plate for metacarpal and phalangeal periarticular injuries.Clin Orthop. 1987; 214: 53-57
- Use of the minicondylar plate in metacarpal and phalangeal fractures.Clin Orthop. 1996; 237: 38-46
- Long-term outcome of articular fractures of the phalanges: an eleven year follow-up.J Hand Surg [Br]. 1989; 14B: 183-193
- Controlled passive motion following flexor tendon repair in zones two and three.in: AAOS symposium on flexor tendon surgery in the hand. CV Mosby, St. Louis1975: 105-114
Article info
Publication history
1531-0914/01/0101-0002$35.00/0
Identification
Copyright
© 2001 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
