Internal fixation of middle phalangeal (P2) fracture using Synthes compact hand set surgical technique
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Middle phalangeal (P2) fractures are increasingly common perhaps reflecting a more active population increasingly enjoying various sporting, leisure and DIY activities (though enjoying is perhaps not the best adjective to apply to DIY). It is no longer appropriate to expect patients to accept digital deformities that interfere in their social and recreational lives.
Surgical fixation of these fractures has become popular over the last few decades. A number of factors such as better implant design, understanding of fracture biomechanics, availability of intra-operative fluoroscopy, increasing patient demands and specialist Hand Units have all revolutionised the treatment of these common hand injuries.
The following is a step-by-step guide to internal fixation of a middle phalangeal fracture using the well-established lag screw compression technique. This procedure demonstrates the use of 1.3 mm screws from the Synthes® Compact Hand Set
Consultant Hand Surgeon, Queen Elizabeth Hospital ,Birmingham ,UK.