Treatment of phalangeal fractures of the hand with intraosseous wire fixation

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Gorosh-J. Page-B-J-2d. Department of Orthopedic Surgery, Botsford General Hospital, Farmington Hills, Michigan. Orthop-Rev. 1989 Jul. 18(7). P 800-6. Most phalangeal fractures of the hand can usually be treated by closed methods; however, those fractures that require open reduction may be effectively treated by the intraosseous wire-fixation technique. Twenty-five unreducible or unstable phalangeal fractures were treated with open reduction and intraosseous wire fixation. Functional results are reported in terms of total active motion and flexion to distal palmar crease of the involved fingers. Acceptable union was achieved in all cases, whereas functional assessment revealed 11 excellent and 14 fair results. Our operative technique and postoperative regimen are reported. A closely supervised postoperative therapy program appears to be critical in achieving a satisfactory end result. Author-abstract.