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KMID : 0621520090140040225
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Journal of the Korean Society for Surgery of the Hand
2009 Volume.14 No. 4 p.225 ~ p.229
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Multiple Pinning in Base Fracture of Distal Phalanx
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Chung Duke-Whan
Park Hyun Chul
Kim Jin-Young
Han Chung-Soo
Lee Jae-Hoon
Kang Dong-Geun
Seo Geon-Wook
Chang jin
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Abstract
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Purpose: The purpose of this study was to evaluate the use of multiple pinning in base fracture of distal phalanx.
Materials and Methods : We reviewed the results of 8 patients treated with a multiple pinning in fracture of distal phalanx base. There were 7 men and 1 woman, and the mean age was 52.6 years(45~66 years). The type of injury was a crushing injury in 6 patients and, in direct trauma in 2. The injured finger was thumb in 4 patients, index finger in 1, long finger in 1, and ring finger in 2. We used three K-wires for fixative devices in all fractured phalanx. The average removal period of K-wire was 6.5 weeks(5~8 weeks).
Results: Postoperatively, immobilization was applied for 6.5 weeks (5~8 weeks). The mean fragment size was 33.8%(10~50%) of long axis of distal phalanx. The range of motion was 1.3˚ (0~5˚ ) in extension lag and 88.1˚ (85~90˚ ) of flexion of the distal interphalangeal joint.
Conclusion: The multiple pinning of base fracture of distal phalanx was one of the useful method to stabilizing of distal phalanx fracture.
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KEYWORD
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Base fracture, Distal phalanx, Multiple pinning
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