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[Conservative management of articular metacarpophalangeal joint fractures]
T Ebinger1, L Kinzl, M Mentzel
1Abteilung für Unfallchirurgie, Hand- und Wiederherstellungschirurgie, Universität Ulm. thomas.ebinger@medizin.uni-ulm.de
Abstract:
We present a splint system for a protected mobilization program after closed reduction of articular proximal phalangeal base fractures. This therapy consists of the periarticular soft tissue and functional anatomy. The soft-tissue around the base of the proximal phalanx leads to a circular stabilization effect. This so called Zancolli Complex (Metacarpophalangeal Retention Apparatus) can be used with the effect of a brace treatment. Treating 31 patients with articular fractures of the proximal phalanx way we found good functional results within a mean follow up period of 2 years after the accident.