Related Experiment Video
Updated: May 5, 2026
07:05
Murine Model of Femoral Artery Wire Injury with Implantation of a Perivascular Drug Delivery Patch
Published on: February 10, 2015
17.8K
Percutaneous cerclage wiring technique for phalangeal fractures
Woo Cheol Shim1, Jae-Won Yang, Si Young Roh
1Department of Plastic and Reconstuctive Surgery, Hand and Microsurgery Center, Gwangmyeong Sungae General Hospital, Gyeonggi-do, Republic of Korea.
Techniques in Hand & Upper Extremity Surgery
|December 11, 2013
Summary
Minimally invasive cerclage wiring effectively treats comminuted phalangeal fractures. This technique overcomes open surgery drawbacks, preserving blood supply and enabling early rehabilitation for hand injuries.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Comminuted phalanx fractures present significant reduction challenges due to distracting forces from surrounding soft tissues.
- Traditional management methods include splinting, traction, and open fixation, each with limitations.
Purpose of the Study:
- To introduce a minimally invasive technique for managing comminuted phalangeal fractures.
- To overcome the complications associated with open reduction and internal fixation.
Main Methods:
- A novel technique using cerclage wire introduced via a hypodermic needle for proximal and distal phalanx base fractures.
- Minimally invasive approach to avoid extensive periosteal stripping and preserve bone vascularity.
Main Results:
- Cerclage wiring effectively contains distracting forces, achieving concentric reduction of the phalangeal bone.
- The minimally invasive technique maintains bone stability, facilitating early patient rehabilitation.
Conclusions:
- Minimally invasive cerclage wiring is a viable and effective treatment for comminuted phalangeal fractures.
- This technique offers mechanical advantages over traditional open methods, minimizing surgical trauma and improving outcomes.
