[Treatment of phalangeal fractures]

Due to anatomical reasons the therapy of phalangeal fractures is a domain of conservative treatment in contrary to metacarpal fractures. Special attention must be focused on defective position in axis and rotation of the fractured phalanx. We use the Iselin splint. The indication for operation depends on the patients compliance, the type of fracture and its localisation. Indications for operation in our opinion are open fractures, dislocated, non reponible fractures, fractures involving the joint, condylar fractures. Conservative treatment gains the more importance the more the fracture is localized at the end of the phalanx.