[Surgical treatment of diaphyseal fractures of digital phalanges]

At present, widely used intraosseous and paraosseous methods of osteosynthesis of digital phalanges are traumatic for soft tissues and hand joints, and provide inadequate security of fragments. A closed transosseous osteosynthesis with fine metallic needles is free from these shortcomings. Its main advantage lies in the fact that it requires no immobilization in a plaster dressing. This enables to start therapeutic exercises early enough and to gain better functional results after digital fractures. 178 patients were operated upon. The results obtained were studied in 68 patients: good-in 43, satisfactory-in 21, poor-in 4.