Long-term objective results of proximal phalanx fracture treatment

dc.contributor.authorÖzçelik, Derya
dc.contributor.authorToplu, Gaye
dc.contributor.authorÜnveren, Toygar
dc.contributor.authorKaçağan, Fatma
dc.contributor.authorŞenyuva, Cemal Tahsin Gökhür
dc.date.accessioned2020-04-30T23:18:59Z
dc.date.available2020-04-30T23:18:59Z
dc.date.issued2011
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000292134600012en_US
dc.descriptionPubMed: 21935805en_US
dc.description.abstractBACKGROUND Proximal phalanx fractures are common. In this study, our preferred methods regarding the treatment of proximal phalanx fractures and their long-term objective results are presented. METHODS Between October 2001 and March 2010, in the Plastic Reconstructive and Aesthetic Surgery Department of Duzce Medical Faculty, we treated 23 patients with 32 proximal phalanx fractures. Stable fractures (n=5) were treated with splints, while unstable fractures (n=27) were stabilized with 1.0 mm percutaneous intramedullary Kirschner wires following open reduction. RESULTS At follow-ups, ranging from 3 months to 9 years, patients were evaluated with radiologic efficiency, range of motion (ROM), total active movements (TAM), and grip power of the digit. TAM scores of 20 fingers were perfect (>= 220 degrees for D2-5, >= 150 degrees for D1), for 7 fingers were good (180-220 degrees for D2-5, 120-150 degrees for D1), and for 5 fingers were either moderate or poor. No difference was observed between grip strength of broken fingers and that of healthy fingers. As a major complication, non-union occurred in one finger. CONCLUSION We concluded that Kirschner wire fixation is a reliable and simple method of treating unstable proximal phalangeal fractures, and excellent long-term results can be obtained in suitable cases. In stable proximal phalanx fractures, splints provide sufficient treatment.en_US
dc.identifier.doi10.5505/tjtes.2011.54280en_US
dc.identifier.endpage260en_US
dc.identifier.issn1306-696X
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage253en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2011.54280
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3610
dc.identifier.volume17en_US
dc.identifier.wosWOS:000292134600012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFractureen_US
dc.subjecthanden_US
dc.subjectKirschner wireen_US
dc.subjectproximal phalanxen_US
dc.titleLong-term objective results of proximal phalanx fracture treatmenten_US
dc.typeArticleen_US

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