Percutaneous management of intra-articular fractures of the interphalangeal joints of the fingers

Open reduction of intra-articular fractures of the proximal interphalangeal joints of the fingers requires extensive exposure of the bone. This often leads to disturbance of the delicate mechanics of the joint. The results are, therefore, sometimes not as good as expected. The authors describe a new...

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Bibliographic Details
Published inHandchirurgie, Mikrochirurgie, plastische Chirurgie Vol. 18; no. 6; p. 356
Main Authors Hintringer, W, Ender, H G
Format Journal Article
LanguageGerman
Published Germany 01.11.1986
Subjects
Adult
Bone Wires
Female
Finger Injuries - surgery
Finger Joint - surgery
Fracture Fixation, Internal - methods
Fractures, Open - surgery
Humans
Male
Wound Healing
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Summary:Open reduction of intra-articular fractures of the proximal interphalangeal joints of the fingers requires extensive exposure of the bone. This often leads to disturbance of the delicate mechanics of the joint. The results are, therefore, sometimes not as good as expected. The authors describe a new method of treatment, using the image intensifier with magnification. The fragments are reduced by means of a golf-club shaped instrument, which is inserted into the medullary cavity through a small skin incision and a drill hole in the bone. After reduction, the position is held by a framework of percutaneously introduced thin Kirschner-wires.
ISSN:0722-1819