Alternative Noninvasive Treatment of Unstable Extra-articular Proximal and Middle Phalangeal Fractures: A Static
Kristen MacDonald1, Juliana Larocerie-Salgado, Shrikant Chinchalkar
1Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, London, ON, Canada.
Techniques in Hand & Upper Extremity Surgery
|September 21, 2021
Abstract:
Extra-articular unstable proximal and middle phalanx fractures are typically managed with surgical means with common complications of tendon tethering, stiffness, and secondary hand dysfunction. As a result, alternative conservative measures are being explored. The use of static linear traction through the application of an orthosis allows for fracture reduction and anatomic healing, with successful range of motion outcomes.


