MODIFIED INTRAMEDULLARY FIXATION WITH TWO Kirschner WIRES FOR EXTRA-ARTICULAR FRACTURE OF PROXIMAL PHALANGEAL BASE
10.7507/1002-1892.20160189
- Author:
Shengzhou LI
1
Author Information
1. Department of Emergency Surgery, Yinzhou No. 2 Hospital
- Publication Type:Journal Article
- Keywords:
Basal fracture;
Intramedullary fixation;
Kirschner wire;
Phalanx
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2016;30(8):935-938
- CountryChina
- Language:Chinese
-
Abstract:
METHODS: Between June 2012 and November 2015, 18 cases (18 fingers) of fresh extra-articular fracture of the proximal phalangeal base were treated, including 16 males and 2 females with an average age of 31 years (range, 21-57 years). The causes included strike injury in 10 cases, fall injury in 4 cases, mechanical injury in 1 case, twist injury in 1 case, crush injury in 1 case, and cutting injury in 1 case. The injured fingers were little finger in 16 cases, ring finger in 1 case, and index finger in 1 case. Of the 18 cases, 17 had closed fractures and 1 had open fracture. X-ray film showed transverse fracture in 14 cases and transverse-oblique fracture in 4 cases. The time between injury and operation was 3 hours to 4 days (mean, 2 days). After anatomical reduction, two Kirschner wires were used for intramedullary fixation. Functional exercises were done at 2 days after operation. The Kirschner wires were removed at 4 weeks after operation.
