Percutaneous Pinning of Middle Phalangeal Neck Fractures: Surgical Technique

详细信息    查看全文

• 作者：Nader Paksima ; DO ; MPH ; ^{nader.paksima@nyumc.org} ; Julie Johnson ; BA ; Adam Brown ; MFA ; Michael Cohn ; MD
• 关键词：Fracture ; middle phalanx ; percutaneous pinning ; phalangeal neck ; surgical technique
• 刊名：The Journal of Hand Surgery
• 出版年：2012
• 出版时间：September, 2012
• 年：2012
• 卷：37
• 期：9
• 页码：1913-1916
• 全文大小：720 K

文摘

Extra-articular middle phalangeal neck fractures are uncommon fractures of the hand that are often difficult to treat. Surgery is indicated when closed reduction fails; 1 option is closed reduction and percutaneous pinning. Maintaining closed reduction while inserting K-wires is challenging. We present a new technique for percutaneous pinning of these fractures that was developed to address these issues. Our technique uses flexion of the interphalangeal joints during K-wire insertion to maintain fracture reduction and improve fixation.