Operative Treatment for Dorsal Lip Fracture of the Base of the Middle Phalanx / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 271-277, 2004.
Article
in Korean
| WPRIM
| ID: wpr-644809
ABSTRACT
PURPOSE:
To evaluate the clinical and radiological results of operative treatment for dorsal lip fracture of the base of the middle phalanx. MATERIALS ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Research Design
/
Follow-Up Studies
/
Fingers
/
Joints
/
Lip
/
Needles
Type of study:
Observational study
/
Prognostic study
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2004
Type:
Article
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