J Korean Soc Surg Hand.  2009 Dec;14(4):225-229.

Multiple Pinning in Base Fracture of Distal Phalanx

• Chung DW
• Han CS
• Lee JH
• Park HC
• Kim JY
• Kang DG
• Seo GW
• Chang J

Abstract

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 1.3degrees (0~5degrees ) in extension lag and 88.1degrees (85~90degrees ) 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.

Keyword

Base fracture; Distal phalanx; Multiple pinning

MeSH Terms

Axis, Cervical Vertebra
Female
Fingers
Humans
Immobilization
Male
Range of Motion, Articular
Thumb