کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4071506 | 1604450 | 2007 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Volar Plating for Intra-Articular Fracture of the Base of the Proximal Phalanx Volar Plating for Intra-Articular Fracture of the Base of the Proximal Phalanx](/preview/png/4071506.png)
Comminuted fractures involving the articular surface of the base of the proximal phalanx are relatively rare and pose a challenging problem for hand surgeons because of the difficulty in achieving an accurate reduction and secure fixation of the articular surface. These fractures usually comprise a volar base fracture associated with a central depression of the articular surface. We describe a technique for open reduction and plate fixation of intra-articular fractures of the base of the proximal phalanx through a volar A1 pulley approach. Compared with the dorsal approach, this technique offers the advantages of direct visualization of the volar base fragment and the depressed central fragment, allowing for a more accurate reduction and rigid internal fixation using a volar buttress plate. In addition, there is no interference with extensor apparatus. Although our experience is limited to 4 patients, we have had a positive experience with this technique. The technique is useful for internal fixation of intra-articular fractures of the base of the proximal phalanx.
Journal: The Journal of Hand Surgery - Volume 32, Issue 8, October 2007, Pages 1299–1303