Fractures of the metacarpals and phalanges are the second. Eightyfour proximal phalangeal fractures in 68 patients were. A treatment approach for isolated unicondylar fractures of the. Purpose to present the technique, indications, and outcomes of metacarpal and phalangeal fractures fixed with intramedullary cannulated headless screws. With surgical intervention, a loss in proximal interphalangeal joint movement is common.
The proximal phalanx pp of the fingers is fractured more frequently than the middle or even distal phalanges. Therapy includes immediate mobilization by use of a continuous passive motion machine and controlled active motion. Ortopedia termino implementado por nicolas andre en 1743 y cuya etimologia es. S117 ao pediatric comprehensive classification of long bone fractures pccf.
The objective of the study was to analyse the treatment outcome in a series of closed proximal phalangeal fractures of the hand. Using the stabilizing effect of the zancolli complexmetacarpophalangeal retention apparatus and an external device such as a thermoplastic metacarpophalangeal block splint, proximal phalangeal fractures can be stabilized in. It occasionally occurs in the distal phalanx of the fingers. Outcome of closed proximal phalangeal fractures of the hand. Fracturas generalidades jose ricardo palomeque saenz.
Actualizaciones en cirugia ortopedica y traumatologia. Aoota classification pdf ao surgery reference ao foundation. Pdf operative treatment for proximal phalangeal neck. Allen y dautel clasifican las lesiones en cuatro zonas o niveles figura 4. Phalangeal fractures of the hand are characterized by a great diversity of fracture patterns. Operative treatment for proximal phalangeal neck fractures of the finger in children article pdf available in yonsei medical journal 464. Closed proximal phalangeal fracture management in hand. Nonunion and malunion of distal phalanx can be effectively treated through an.
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