Abstract
The most frequent skeletal injuries are hand fractures, which constitute around 20%
of all fractures. Fractures of the phalanx are usual, comprising 6% of all fractures.
Proximal phalanx fractures arise more often. The main goals of the care are to repair
the anatomy, reduce the damage to soft tissue, and mobilize the damaged fingers as
soon as stabilization of the fracture allows it. The present report is intended to
examine the clinical and radiation effects of proximal phalanx fractures in patients
treated with intramedullary screw fixation who underwent closed reduction. We report
three consecutive cases of proximal phalanx fracture: two basal fractures and one
simple shaft fracture. They were treated surgically with closed reduction with intramedullary
headless compression screws. The preoperative magnitude of the angulation of the proximal
phalanx averaged 30.3° (range: 13° to 42°). Two patients presented rotational deformity.
The clinical findings were measured using the abbreviated version of the Disabilities
of the Arm, Shoulder and Hand (Quick-DASH) questionnaire, and the range of motion
and functional results were assessed. Complications were observed over a span of at
least 3 months. The patients displayed complete active flexion-extension proximal
interphalangeal joint and flexion-extension metacarpophalangeal joint without rotative
deformity. The scores on the QuickDASH were satisfactory (mean: 2.3; range: 0 to 4.5).
No secondary surgeries were performed, and complications were not observed. Intramedullary
fixation of proximal phalanx fractures with cannulated tension screws has been shown
to be a safe operation, resulting in outstanding functional performance and an early
recovery. The fracture is minimized and properly consolidated by the patients.
Keywords
bone plates - bone screws - bone wires - finger phalanges - fractures, bone - fracture
fixation internal
