Open reduction and interfragmentary screw fixation for symptomatic nonunion of distal phalangeal fractures

Harvey Chim, L. C. Teoh, F. C. Yong

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

Although most distal phalangeal fractures can be treated conservatively, there exists a subset of patients who are liable to develop symptomatic non-union, manifesting as pain and/or instability, and who may benefit from early fracture fixation. This group of patients includes those with displaced or comminuted fractures of the shaft or neck and those with oblique fractures prone to displacement. This paper reviews the use of a cortical miniscrew for fixation of fracture non-union in these patients and shows that this is an effective treatment modality with minimal morbidity. Fourteen patients with fractures of the shaft or neck of the distal phalanx complicated by symptomatic non-union were treated by open reduction and interfragmentary screw fixation. All of the fractures united at a mean of 4.2 months and all patients regained normal function of the finger.

Original languageEnglish (US)
Pages (from-to)71-76
Number of pages6
JournalJournal of Hand Surgery: European Volume
Volume33
Issue number1
DOIs
StatePublished - Feb 1 2008

Keywords

  • Distal phalanx fracture
  • Hand fracture
  • Interfragmentary screw fixation
  • Non-union
  • Open reduction

ASJC Scopus subject areas

  • Surgery

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