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Updated: Jan 26, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
[Open reduction and plate/screw osteosynthesis of proximal phalanx fractures]
F Unglaub1,2, M F Langer3, S Löw4
1Handchirurgie Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland. unglaub@vulpiusklinik.de.
Objective:
Anatomical open reduction and internal fixation using screw/plate osteosynthesis.
Indications:
Extra-articular fractures with clinically evident malrotation of the finger, comminution fracture and/or loss of length, which cannot be treated non-operatively; fracture instability; intra-articular fracture with step off greater than 1 mm, which cannot be treated percutaneously but openly using plate/screw osteosythesis; failure of conservative treatment.
Contraindications:
General operative limitations.
Surgical Technique:
Dorsal, mediolateral, or palmar approach, temporary reduction using pincers or optional Kirschner wires; screw/plate osteosynthesis for internal fixation.
Postoperative Management:
Immediate mobilization facilitated by buddy loops for the first 4-6 weeks, prevention of edema using elastic dressing, physiotherapy.
Results:
Open reduction and internal fixation using screw/plate osteosynthesis provides good results in combination with immediate mobilization. Nevertheless, adhesion of tendons or capsule tissue with restriction of range of motion is observed.
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