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Journal of Hand Surgery (European Volume)
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Articles

K-Wire Fixation for Extraarticular Transverse/Short Oblique Fractures of the Shaft of the Middle Phalanx Associated with Extensor Tendon Injury

M. M. AL-QATTAN

From the King Saud University, Riyadh, Saudi Arabia

Correspondence: Professor M.M. Al-Qattan, Head, Division of Hand Surgery, PO Box 18097, Riyadh 11415, Saudi Arabia. E-mail: moqattan{at}hotmail.com.

In a prospective study, 22 cases of extraarticular transverse/short oblique fractures of the shaft of the middle phalanx associated with extensor tendon injury had fixation of the fracture as well as immobilisation of the distal interphalangeal joint using a K-wire. Mobilisation of the proximal interphalangeal and metacarpophalangeal joints was started immediately after surgery. The wires were removed after 6 weeks. No post-operative complications were noted. At final follow-up (mean = 15 weeks, range = 12–24 weeks), 18 of 22 patients obtained excellent and good total active motion (TAM) scores. Stiffness was confined to the distal interphalangeal joint, and hence when the results were re-analysed for motion at that joint only, only 11 patients had excellent and good outcomes.

Key Words: middle phalanx • finger • fracture • extensor tendon injury

This version was published on October 1, 2008

Journal of Hand Surgery (European Volume), Vol. 33, No. 5, 561-565 (2008)
DOI: 10.1177/1753193408090147
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