Clinical Examples: Percutaneous intramedullary Herbert screw fixation of proximal phalanx fractures
| Proximal phalanx fractures are a common problem with many treatment options. These images illustrate a technique of stabilization using intramedullary Herbert screws placed percutaneously through the base of the proximal phalanx. Provisional fixation is obtained with K wires which are replaced with Herbert screws, which simply follow the soft tissue path of the pin tract to the bone. Self tapping screws are not used in this technique, as the cutting threads catch on soft tissues. |
| One of the problems with completely displaced proximal phalanx fractures is a tendency to redisplace after temporary percutaneous pinning. This fracture was treated acutely. |
| A second case, five weeks after injury with early callus, treated with similar technique after percutaneous fracture mobilization with a small elevator. |
|
Search for... Proximal phalanx fracture
|
Case Examples Index Page | e-Hand home |