The Results of Treatment for Fractures at the Distal Part of Proximal Phalanx of Fingers.
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概要
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We report the results of treatment of the fractures at the distal part of proximal phalanx of index finger in two patients, middle finger in two patients, little finger in one patient. These included 4 males and 1 female ranging in age from 2 to 33 years (average age 13 years). Two rotational supracondylar fractures and one unilateral condylar fracture were also treated with manual reduction and percutaneous pinning. An intra-articular comminuted fracture of proximal interphalangeal (PIP) joint was treated with open reduction and internal fixation using K-wires, and the metaphyseal fracture was immobilized without reduction.Postoperatively, four patients developed lateral angulation deformity of the fingers ranging from 5 to 18 degree. This deformity usually did not prevent full range of motion. The degree of deformity was unchanged even in children. The case with intra-articular comminuted fracture suffered limitation of range of motion of PIP joint.Our results indicate that anatomical reduction is essential for preventing the malunion.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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