Interosseous wiring for fragmented proximal phalangeal fractures

Hidetoshi Teraura; Hideki Sakanaka; Hiroyuki Gotani

doi:10.1080/23320885.2022.2039668

Interosseous wiring for fragmented proximal phalangeal fractures

Case Reports Plast Surg Hand Surg. 2022 Feb 21;9(1):66-71. doi: 10.1080/23320885.2022.2039668. eCollection 2022.

Authors

Hidetoshi Teraura¹, Hideki Sakanaka², Hiroyuki Gotani³

Affiliations

¹ Department of Orthopaedic Surgery, Higashisumiyoshi Morimoto Hospital, Osaka city, Osaka, Japan.
² Department of Orthopaedic Surgery, Seikeikai Hospital, Sakai city, Osaka, Japan.
³ Hand and Trauma Microsurgery Center, Osaka Ekisaikai Hospital of Japan Seafarers Relief Association, Osaka city, Osaka, Japan.

Abstract

Fragmented proximal phalangeal fractures are difficult to treat. Fixation with plate and screws often lead to contractures and extensor tendon adhesions. Interosseous wiring could prevent those complications by repairing the periosteum and avoiding direct contact between implants and extensor tendon, while a good total active motion can be achieved.

Keywords: Proximal phalangeal fractures; extensor tendon adhesion; interosseous wiring; joint contracture.

Publication types

Case Reports