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Journal of Hand Surgery (British and European Volume)
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Articles

Treatment of Phalangeal Fractures in Severely Injured Hands

F. J. T. VAN OOSTEROM
G. J. V. BRETE
C. OZDEMIR
S. E. R. HOVIUS

From the Department of Plastic and Reconstructive Surgery, Academical Hospital Rotterdam, The Netherlands

Correspondence: Professor Dr S E R Hovius, Room No H764, Dept of Plastic & Recon Surgery, University Hospital Rotterdam, Dr. Molewaterplein 40, 3015GD Rotterdam, The Netherlands

This retrospective study was performed to assess the incidence of complications of operative treatment of phalangeal fractures. Risk factors for the development of complications were also investigated. Records and radiographs of 350 patients with 666 operatively treated phalangeal fractures were studied. Minimum follow-up was 1 year. A total of 176 fractured fingers were amputated primarily or secondarily, leaving 490 fractures for follow-up. Ninety-three fractures were treated conservatively. Nonunion necessitating reoperation developed in 6% (31/490) of fractures, malunion in 9% (44/490) and infection in 2% (8/490). Infection, segmental bone loss and (neuro)vascular injury predisposed to nonunion and replantation predisposed to malunion. There was a statistical correlation between the use of external fixation and malunion. Nonunion, malunion, and infection rates were similar to other studies.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 2, 108-111 (2001)
DOI: 10.1054/jhsb.2000.0486
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Home page
 J Hand Surg Eur VolHome page
I. B. OZCELIK, F. KABAKAS, B. MERSA, H. PURISA, I. SEZER, and E. ERTURER
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J Hand Surg Eur Vol., October 1, 2009; 34(5): 638 - 642.
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