Cargando…

Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases

BACKGROUND: Proximal phalangeal fractures are common fractures of the hand. The fractures are difficult to treat because of vicinity of two important joints and crossing long tendons. The purpose of this study was to evaluate the efficacy of nail traction technique in the management of proximal phal...

Descripción completa

Detalles Bibliográficos
Autores principales: Jehan, Shah, Chandraprakasam, Thangavel, Thambiraj, Sathya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3360189/
https://www.ncbi.nlm.nih.gov/pubmed/22662302
http://dx.doi.org/10.4055/cios.2012.4.2.156
_version_ 1782233958792036352
author Jehan, Shah
Chandraprakasam, Thangavel
Thambiraj, Sathya
author_facet Jehan, Shah
Chandraprakasam, Thangavel
Thambiraj, Sathya
author_sort Jehan, Shah
collection PubMed
description BACKGROUND: Proximal phalangeal fractures are common fractures of the hand. The fractures are difficult to treat because of vicinity of two important joints and crossing long tendons. The purpose of this study was to evaluate the efficacy of nail traction technique in the management of proximal phalangeal fractures of the hand. METHODS: Patients (n=43) with proximal phalangeal fractures were treated by nail traction and evaluated prospectively. We assessed all the patients at the time of presentation and then followed a standard protocol for recruiting patients. After application of nail traction, the patients were initially assessed at 12th day. The outcome measures included post reduction radiographic evaluation and total active motion (TAM) in finger at the final follow-up appointment. All the patients were followed for one year. RESULTS: The post-reduction X-ray evaluation showed good reduction in 33 cases, fair reduction in 8 and poor reduction in 2 cases. At final assessment, 35 patients had good TAM score, six had fair and two had poor TAM score. Complications were noted in two patients and these included pressure necrosis in palm and stiffness in proximal interphalangeal joint. CONCLUSIONS: The results of this prospective study show that with careful selection of patients, nail traction seems to be simple, safe and effective technique for managing proximal phalangeal fractures.
format Online
Article
Text
id pubmed-3360189
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher The Korean Orthopaedic Association
record_format MEDLINE/PubMed
spelling pubmed-33601892012-06-02 Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases Jehan, Shah Chandraprakasam, Thangavel Thambiraj, Sathya Clin Orthop Surg Original Article BACKGROUND: Proximal phalangeal fractures are common fractures of the hand. The fractures are difficult to treat because of vicinity of two important joints and crossing long tendons. The purpose of this study was to evaluate the efficacy of nail traction technique in the management of proximal phalangeal fractures of the hand. METHODS: Patients (n=43) with proximal phalangeal fractures were treated by nail traction and evaluated prospectively. We assessed all the patients at the time of presentation and then followed a standard protocol for recruiting patients. After application of nail traction, the patients were initially assessed at 12th day. The outcome measures included post reduction radiographic evaluation and total active motion (TAM) in finger at the final follow-up appointment. All the patients were followed for one year. RESULTS: The post-reduction X-ray evaluation showed good reduction in 33 cases, fair reduction in 8 and poor reduction in 2 cases. At final assessment, 35 patients had good TAM score, six had fair and two had poor TAM score. Complications were noted in two patients and these included pressure necrosis in palm and stiffness in proximal interphalangeal joint. CONCLUSIONS: The results of this prospective study show that with careful selection of patients, nail traction seems to be simple, safe and effective technique for managing proximal phalangeal fractures. The Korean Orthopaedic Association 2012-06 2012-05-17 /pmc/articles/PMC3360189/ /pubmed/22662302 http://dx.doi.org/10.4055/cios.2012.4.2.156 Text en Copyright © 2012 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jehan, Shah
Chandraprakasam, Thangavel
Thambiraj, Sathya
Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases
title Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases
title_full Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases
title_fullStr Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases
title_full_unstemmed Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases
title_short Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases
title_sort management of proximal phalangeal fractures of the hand using finger nail traction and a digital splint: a prospective study of 43 cases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3360189/
https://www.ncbi.nlm.nih.gov/pubmed/22662302
http://dx.doi.org/10.4055/cios.2012.4.2.156
work_keys_str_mv AT jehanshah managementofproximalphalangealfracturesofthehandusingfingernailtractionandadigitalsplintaprospectivestudyof43cases
AT chandraprakasamthangavel managementofproximalphalangealfracturesofthehandusingfingernailtractionandadigitalsplintaprospectivestudyof43cases
AT thambirajsathya managementofproximalphalangealfracturesofthehandusingfingernailtractionandadigitalsplintaprospectivestudyof43cases