Interosseous wiring for fragmented proximal phalangeal fractures
Hidetoshi Teraura1, Hideki Sakanaka2, Hiroyuki Gotani3
1Department of Orthopaedic Surgery, Higashisumiyoshi Morimoto Hospital, Osaka city, Osaka, Japan.
Case Reports in Plastic Surgery & Hand Surgery
|February 28, 2022
Summary
Interosseous wiring offers a superior solution for fragmented proximal phalangeal fractures. This technique repairs the periosteum and avoids tendon adhesions, leading to better finger mobility.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Fracture repair
Background:
- Fragmented proximal phalangeal fractures present significant treatment challenges.
- Traditional plate and screw fixation can result in complications like contractures and extensor tendon adhesions.
Observation:
- Interosseous wiring technique involves repairing the periosteum.
- This method avoids direct contact between fixation implants and the extensor tendon.
Findings:
- Interosseous wiring effectively prevents contractures and extensor tendon adhesions.
- The technique facilitates the achievement of good total active motion in the finger.
Implications:
- Interosseous wiring represents a promising alternative for managing complex phalangeal fractures.
- This approach may improve functional outcomes and reduce long-term complications in hand surgery.
