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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 4/2017

01-04-2017 | Handsurgery

Dorsal versus lateral plate fixation of finger proximal phalangeal fractures: a retrospective study

Authors: Luke P. Robinson, Michael P. Gaspar, Adam B. Strohl, Seth L. Teplitsky, Shiv D. Gandhi, Patrick M. Kane, A. Lee Osterman

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2017

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Abstract

Introduction

Unstable proximal phalanx fractures are relatively common injuries but consensus of standard treatment is lacking. Outcomes following plate fixation are highly variable, and it remains unclear which factors are predictive for poorer results. The purpose of this study was to compare dorsal and lateral plate fixation of finger proximal phalangeal fractures with regard to factors that influence the outcome.

Materials and methods

A retrospective chart review of proximal phalanx fractures treated with dorsal and lateral plating over a 6-year study interval was performed. Demographic data and injury-specific factors were obtained from review of clinic and therapy notes of 42 patients. Fractures were classified based on the OTA classification using preoperative radiographs. Outcomes investigated included final range of motion (ROM) and total active motion (TAM) of all finger joints. Complications and revision surgeries were also analyzed.

Results

Fracture comminution, dorsal and a lateral plate position, occupational therapy, and demographic factors did not significantly influence the outcome, complication, and revision rate after plate fixation of finger proximal phalangeal fractures.

Conclusions

Based on the results of this study, no differences in the outcome of finger proximal phalangeal fractures treated by both dorsal and lateral plate fixation were observed.

Level of evidence

Therapeutic, retrospective comparative, level III.
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Metadata
Title
Dorsal versus lateral plate fixation of finger proximal phalangeal fractures: a retrospective study
Authors
Luke P. Robinson
Michael P. Gaspar
Adam B. Strohl
Seth L. Teplitsky
Shiv D. Gandhi
Patrick M. Kane
A. Lee Osterman
Publication date
01-04-2017
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 4/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-017-2650-x

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