Internal Fixation of Proximal Phalanx with Synthes® 1.5 mm Compact Hand Set Surgical Technique
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Proximal phalangeal fractures are fairly common, with their incidence being second only to the metacarpal fractures in the hand. Malunion of these fractures can result in scissoring of the fingers or pseudoclawing – which interfere with the normal function of the hand. Reduction, stabilization and early mobilization are essential for optimal outcomes following this injury.
This is a step-by-step guide of internal fixation of these injuries using a Synthes® 1.5 mm Compact Hand Set with plates and screws. The technique is very versatile and can be used for most fracture patterns in the proximal phalanx of the finger.
Consultant Hand Surgeon, Queen Elizabeth Hospital, Birmingham, Uk.