Conservative treatment of subcapital phalangeal fracture malunions | Zendy

David McCombe | Zendy; Brinkley K. Sandvall | Zendy; Christopher J. Coombs | Zendy

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Conservative treatment of subcapital phalangeal fracture malunions

Author(s) -

David McCombe,

Brinkley K. Sandvall,

Christopher J. Coombs

Publication year - 2020

Publication title -

australasian journal of plastic surgery

Language(s) - English

Resource type - Journals

ISSN - 2209-170X

DOI - 10.34239/ajops.v3n1.158

Subject(s) - malunion , deformity , medicine , phalanx , conservative treatment , displacement (psychology) , conservative management , presentation (obstetrics) , osteotomy , surgery , orthodontics , nonunion , psychology , psychotherapist

Section: Hand Abstract Displaced subcapital phalangeal fractures of the middle or proximal phalanges occur primarily in children. The degree and direction of displacement, patient age and time since injury influence treatment decisions and patient outcomes. Delayed presentation with malunion and reduced joint motion is common. This paper presents a case series of displaced subcapital phalangeal fracture early malunions managed conservatively. Near complete remodelling of dorsal angular deformity was seen in all patients. Conservative management of phalangeal subcapital fracture malunions is a viable alternative to the complex procedure of corrective osteotomy.

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