[Conservative management of articular metacarpophalangeal joint fractures].
We present a splint system for a protected mobilization program after closed reduction of articular proximal phalangeal base fractures. This therapy consists of the periarticular soft tissue and functional anatomy. The soft-tissue around the base of the proximal phalanx leads to a circular stabilization effect. This so called Zancolli Complex (Metacarpophalangeal Retention Apparatus) can be used with the effect of a brace treatment. Treating 31 patients with articular fractures of the proximal phalanx way we found good functional results within a mean follow up period of 2 years after the accident.
Ebinger
T
T
Abteilung für Unfallchirurgie, Hand- und Wiederherstellungschirurgie, Universität Ulm. thomas.ebinger@medizin.uni-ulm.de
Kinzl
L
L
Mentzel
M
M
D000328:Adult; D001915:Braces; D005260:Female; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D013165:Splints