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Percutaneous reduction and fixation of displaced phalangeal neck fractures in children
John W Karl1, Neil J White, Robert J Strauch
1Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY, USA.
Background:
Several methods have been reported for fixation of displaced phalangeal neck fractures in children. The purpose of this study is to present a technique for the closed reduction and percutaneous fixation of displaced phalangeal neck fractures and the clinical results of 4 patients treated by this method.
Methods:
Four consecutive patients with displaced phalangeal neck fractures were treated with closed reduction and single intramedullary Kirschner wire placed percutaneously with a novel technique.
Results:
The average age at injury was 5 years 9 months (range, 23 mo to 10 y). Three patients were male and 1 was female. Two patients had fractures of the proximal phalangeal neck, whereas the other 2 had fractures of the middle phalangeal neck. After an average follow-up of 18 weeks, all patients had nearly full pain-free flexion and extension of the affected digit.
Conclusions:
The described technique is a simple, reproducible and effective treatment for displaced phalangeal neck fractures in children.
Level Of Evidence:
Level IV. Therapeutic study, case series.
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