Article ; Online: Surgical Technique: Lateral Plate Osteosynthesis of Proximal Phalanx Fractures.
Techniques in hand & upper extremity surgery
2023 Volume 27, Issue 1, Page(s) 38–44
Abstract: Dorsal plate fixation of proximal phalanx (PP) fractures is a conventional approach but interferes with the extensor mechanism and results in stiffness. Biomechanical studies have shown that laterally placed plates on the proximal phalanges are equally ... ...
| Abstract | Dorsal plate fixation of proximal phalanx (PP) fractures is a conventional approach but interferes with the extensor mechanism and results in stiffness. Biomechanical studies have shown that laterally placed plates on the proximal phalanges are equally stable and rigid. This technique obviates the issue of tendon adhesion and may result in better postoperative range of motion and lower secondary procedures such as removal of implant and tenolysis. The low adoption of this technique may be related to lack of familiarity with the surgical approach. We describe our surgical technique with lateral plating of PP fractures and present our case that lateral plate osteosynthesis is an acceptable surgical fixation option for PP fractures, which extends the hand surgeon's armamentarium for more challenging and comminuted fractures. |
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| MeSH term(s) | Humans ; Fractures, Bone/surgery ; Fracture Fixation, Internal/methods ; Fractures, Comminuted/surgery ; Finger Phalanges/surgery ; Bone Plates |
| Language | English |
| Publishing date | 2023-03-01 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2075789-X |
| ISSN | 1531-6572 ; 1089-3393 |
| ISSN (online) | 1531-6572 |
| ISSN | 1089-3393 |
| DOI | 10.1097/BTH.0000000000000407 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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