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DOI: 10.1055/s-0044-1787074
Treatment of Intra-Articular Phalanx Malunions with Extra-Articular Osteotomies and Osteosynthesis with Intramedullary Screws
Artikel in mehreren Sprachen: español | English
Abstract
Malunions of intra-articular fractures in phalanges cause deformities that limit function and are not well tolerated. On the other hand, their treatment with intra-articular osteotomies is associated with complications, mainly stiffness. We herein present a series of two cases of intra-articular malunion treated through extra-articular osteotomy and synthesis through a little invasive method: intramedullary screws. After the aforementioned procedure, the patients presented full range of motion and were able to return to their activities without pain in less than 3 months. The main advantages of the technique described are, on the one hand, the avoidance of complications secondary to intra-articular procedures, and, on the other hand, the use of devices that require less aggressive approaches and less wide deperiostizations.
Publikationsverlauf
Eingereicht: 24. Januar 2023
Angenommen: 28. Januar 2024
Artikel online veröffentlicht:
07. Juni 2024
© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referencias
- 1 Del Piñal F, Ananos D, Rúas JS, Mazarrasa R, Studer AT. Minimally Invasive Procedure for Correcting Extra-Articular Malunions of Metacarpals and Phalanges. J Hand Surg Am 2023; 48 (05) 511.e1-511.e10 DOI: 10.1016/j.jhsa.2021.11.024.
- 2 Teoh LC, Yong FC, Chong KC. Condylar advancement osteotomy for correcting condylar malunion of the finger. J Hand Surg [Br] 2002; 27 (01) 31-35 DOI: 10.1054/jhsb.2001.0694.
- 3 Wolfe Scott. W. et al. Green's Operative Hand Surgery. Available from: Elsevier eBooks + , Elsevier - OHCE, 2016
- 4 Harness NG, Chen A, Jupiter JB. Extra-articular osteotomy for malunited unicondylar fractures of the proximal phalanx. J Hand Surg Am 2005; 30 (03) 566-572 DOI: 10.1016/j.jhsa.2004.12.003.
- 5 del Piñal F, Moraleda E, Rúas JS, de Piero GH, Cerezal L. Minimally invasive fixation of fractures of the phalanges and metacarpals with intramedullary cannulated headless compression screws. J Hand Surg Am 2015; 40 (04) 692-700 DOI: 10.1016/j.jhsa.2014.11.023.
- 6 Duncan KH, Jupiter JB. Intraarticular osteotomy for malunion of metacarpal head fractures. J Hand Surg Am 1989; 14 (05) 888-893 DOI: 10.1016/s0363-5023(89)80096-6.