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Related Experiment Videos

Internal fixation of phalangeal fractures using titanium miniplates.

K S Berman1, D M Rothkopf, J V Shufflebarger

  • 1Division of Plastic and Reconstructive Surgery, University of Massachusetts Medical Center, Worcester, USA.

Annals of Plastic Surgery
|April 23, 1999
PubMed
Summary

Titanium plate fixation for phalangeal fractures showed promising results, with no hardware failure or infection. This method achieved good to excellent joint motion recovery in most patients, despite some complications.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Trauma Surgery

Background:

  • Plate fixation for metacarpal fractures is common, but its use in phalangeal fractures is debated due to risks like infection and stiffness.
  • Potential complications include hardware breakage, soft-tissue trauma, and joint stiffness.

Purpose of the Study:

  • To evaluate the outcomes of titanium plate fixation for phalangeal fractures.
  • To assess complication rates and joint motion recovery following this surgical technique.

Main Methods:

  • Retrospective analysis of 16 phalangeal fractures treated with Profyle titanium plates from 1991 to 1998.
  • Dorsal plate placement via an extensor tendon-splitting approach.
  • Follow-up averaged 5 months, assessing fracture patterns, complications, and joint motion using the Total Active Flexion Scale.

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Main Results:

  • No hardware failure, infection, or malunion occurred in the 16 patients.
  • Complications (25%) included hardware removal due to pain, proximal interphalangeal joint flexion contracture, and extensor lag.
  • Excellent or good joint motion recovery was achieved in 15 out of 16 digits.

Conclusions:

  • Titanium miniplate fixation can be a viable option for phalangeal fractures, yielding good functional outcomes.
  • Careful surgical technique and patient selection are important to minimize complications.
  • Further guidelines for miniplate application in phalangeal fractures are suggested based on literature review and study findings.