Tension band wiring of unstable transverse fractures of the proximal and middle phalanges of the hand.
Twenty-three isolated, unstable and closed transverse middle and proximal phalangeal shaft fractures in 23 patients were treated by tension band wiring. The tension band was applied with two transverse Kirschner wires that did not cross the fracture line. All of the fractures united and achieved satisfactory functional outcomes. No patient required either physiotherapy or tenolysis or capsulotomy surgery.
Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey. ozipeh@e-kolay.net
O
O
Pehlivan
A
A
Kiral
C
C
Solakoglu
I
I
Akmaz
H
H
Kaplan
D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D005596:Fractures, Closed / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D016059:Range of Motion, Articular / Q000502:physiology; D016896:Treatment Outcome