Intramedullary Compression Screw Fixation of Proximal Phalangeal Fractures: A Systematic Literature Review.

intramedullary screw open reduction internal fixation proximal phalanx fractures systematic review

Journal

Hand (New York, N.Y.)
ISSN: 1558-9455
Titre abrégé: Hand (N Y)
Pays: United States
ID NLM: 101264149

Informations de publication

Date de publication:
07 2022
Historique:
pubmed: 30 9 2020
medline: 14 7 2022
entrez: 29 9 2020
Statut: ppublish

Résumé

Proximal phalangeal fractures have traditionally been fixed via either Kirschner wires or dorsal plating. Concerns regarding lack of compression and potential for infection with wire fixation, and adhesion formation and stiffness with plating, have lead to alternative fixation methods, such as intramedullary screw fixation. However, the literature regarding this modality is limited. Methods: A systematic review was performed to review the literature regarding intramedullary screw fixation for proximal phalangeal fractures. English language studies that reported original data and commented on at least one postoperative measure of function were eligible for inclusion. 4 studies were eligible for inclusion, with a further 3 studies assessing proximal and middle phalanges analysed separately. Total active motion was greater than 240° in all proximal phalangeal studies; mean post-operative DASH was 3.62. 6% of patients sustained a major complication. Intramedullary screw fixation of proximal phalangeal fractures is safe, providing stable fixation to allow early motion.

Identifiants

pubmed: 32988227
doi: 10.1177/1558944720928503
pmc: PMC9274898
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

595-601

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Auteurs

Brahman S Sivakumar (BS)

Royal North Shore Hospital, St Leonards, NSW, Australia.

Vincent V G An (VVG)

Royal Prince Alfred Hospital, Camperdown, NSW, Australia.

David J Graham (DJ)

Gold Coast University Hospital, Southport, QLD, Australia.

James Ledgard (J)

Royal North Shore Hospital, St Leonards, NSW, Australia.

Richard D Lawson (RD)

Royal North Shore Hospital, St Leonards, NSW, Australia.

Dominic Furniss (D)

Nuffield Orthopaedic Centre, Oxford, United Kingdom.

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Classifications MeSH