Operative Treatment for Dorsal Lip Fracture of the Base of the Middle Phalanx.
10.4055/jkoa.2004.39.3.271
- Author:
Ho Jung KANG
1
;
Hong Kyo MOON
;
Sung Yong SUNG
;
Soo Bong HAH
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Yonsei University, Seoul, Korea. kangho56@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Middle phalanx;
Dorsal lip;
Fracture
- MeSH:
Fingers;
Follow-Up Studies;
Joints;
Lip*;
Needles;
Research Design
- From:The Journal of the Korean Orthopaedic Association
2004;39(3):271-277
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical and radiological results of operative treatment for dorsal lip fracture of the base of the middle phalanx. MATERIALS AND METHODS: From 1992 to 2003 we experienced 9 cases of dorsal lip fracture of the middle phalangeal base that were treated surgically. Spinal needle fixation was used in cases with comminution. iniscrew fixation was performed in cases with a fragment larger than half of the articular surface. The pull-out technique was performed only in the cases with a fragment without comminution smaller than half of the articular surface. Bone union was evaluated using roentgenograms and clinical evaluations were done using Steel's scoring method. RESULTS: The average follow up after operation was 12.3 months. Cases showed union at an average of 7 weeks postoperatively. Two cases achieved excellent results, six cases good, and one case achieved a fair result; mean proximal interphalangeal joint flexion was 100 degrees (range 90-106). Extension deficit of 5 degrees was noted in 2 fingers. CONCLUSION: The pull-out technique, miniscrew fixation, and spinal needle fixation can produce a good clinical and radiological outcome in the treatment of dorsal lip fracture of the base of the middle phalanx.
