Dynamic treatment for proximal phalangeal fracture of the hand.
OBJECTIVE
To assess a protected mobilisation programme (dynamic treatment) for proximal phalangeal fracture of the hand, irrespective of the geometry.


METHODS
Clinical and radiological results of 32 consecutive patients with proximal phalangeal fracture of the hand treated from January 2001 to February 2007 were evaluated. Our supervised rehabilitation programme was strictly followed to gain full range of movement of the proximal interphalangeal joint and to prevent the development of an extension lag contracture. Patients were followed up for a mean period of 15 (range, 13-16) months. Results were evaluated using the Belsky classification.


RESULTS
The results were excellent in 72% of the patients, good in 22%, and poor in 6%. Some patients defaulted follow-up, which made long-term assessment difficult. The poor results may have been related to patient non-compliance or default from rehabilitation. Many good results upgraded to excellent following further rehabilitation.


CONCLUSIONS
Skeletal stability, not rigidity, is necessary for functional movements of the hand. Proximal phalangeal fractures can be effectively treated by closed methods, using the stabilising effect of soft tissues (zancolli complex-metacarpophalangeal retention apparatus) and external devices (metacarpophalangeal block splint), thus enabling bone healing and movement recovery at the same time.
Rajesh
G
G
Department of Orthopaedics and Traumatology, University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong. drgarg@rediffmail.com
Ip
W Y
WY
Chow
S P
SP
Fung
B K K
BK
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology*; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D050278:Finger Phalanges / Q000000981:diagnostic imaging / Q000293:injuries*; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome