Percutaneous reduction of incipient malunion of phalangeal neck fractures in children

The Journal of Hand Surgery
P M WatersAnne Y Kuo

Abstract

In this article we describe our treatment of partially healed malaligned fractures of the phalangeal neck in children. This was a retrospective study of 8 pediatric patients with phalangeal neck fractures who presented late for care to Children's Hospital in Boston. All patients were diagnosed clinically and radiographically with advanced partial healing of their fracture in a malunited position of extension. The 8 patients were followed up until fracture healing and restoration of normal motion and function were achieved. A K-wire was inserted into the fracture site through the dorsal callus and used to mobilize the fracture fragment by breaking down the fracture callus and partially healed bone. The wire then was used as a lever arm for fracture reduction. A separate wire was used to pin the fracture percutaneously. This treatment corrects the loss of flexion that occurs with a malunion in the phalangeal subcondylar fossa. It is a minimally invasive procedure that avoids the soft-tissue dissection of an open procedure.

References

Nov 1, 1987·The Journal of Hand Surgery·B P Simmons, T T Peters
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Jan 1, 1993·Journal of Pediatric Orthopedics·S M BernsteinL Bernstein
Jun 10, 1998·The Journal of Hand Surgery·T E TrumbleM Gilbert

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Citations

Feb 14, 2012·Journal of Pediatric Orthopedics·John W KarlRobert J Strauch
May 25, 2012·Journal of Pediatric Orthopedics·Roger Cornwall
Nov 7, 2015·Journal of Plastic Surgery and Hand Surgery·Mohammad M Al-QattanSaleh Hanouneh
Feb 6, 2014·The Journal of Hand Surgery·Jonas L Matzon, Roger Cornwall
May 7, 2013·Chirurgie de la main·F Fitoussi
Dec 27, 2011·The Journal of Hand Surgery·Benjamin N PuckettWaldo E Floyd
Oct 29, 2011·Clinics in Plastic Surgery·Warren C Hammert
Aug 6, 2010·The Journal of Hand Surgery·M M Al-Qattan
Mar 1, 2006·Hand Clinics·Anastasios PapadonikolakisL Andrew Koman
Mar 23, 2005·The Journal of Hand Surgery·Matthew M Tomaino
Mar 15, 2015·Injury·Mohammad M Al-Qattan, Ahmed M Al-Qattan
Oct 22, 2008·The Journal of Hand Surgery, European Volume·M M Al-Qattan
Sep 11, 2014·Journal of Pediatric Orthopedics·Donald S Bae, Charles A Goldfarb
Oct 19, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Joshua M AbzugTheresa O Wyrick
Jan 1, 2012·The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique·Mohammad M Al-Qattan

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