title: Percutaneous pinning of middle phalangeal neck fractures: surgical technique.
abstract: Extra-articular middle phalangeal neck fractures are uncommon fractures of the hand that are often difficult to treat. Surgery is indicated when closed reduction fails; 1 option is closed reduction and percutaneous pinning. Maintaining closed reduction while inserting K-wires is challenging. We present a new technique for percutaneous pinning of these fractures that was developed to address these issues. Our technique uses flexion of the interphalangeal joints during K-wire insertion to maintain fracture reduction and improve fixation.
authors.affiliation: Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, NY 10016, USA. nader.paksima@nyumc.org
authors.forename: Nader
authors.initials: N
authors.lastname: Paksima
authors.forename: Julie
authors.initials: J
authors.lastname: Johnson
authors.forename: Adam
authors.initials: A
authors.lastname: Brown
authors.forename: Michael
authors.initials: M
authors.lastname: Cohn
mesh_terms: D001858:Bone Nails; D003299:Cooperative Behavior; D050278:Finger Phalanges / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D033183:Interdisciplinary Communication; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000534:rehabilitation