title: Minimally invasive finger fracture management: wide-awake closed reduction, K-wire fixation, and early protected movement.
abstract: We prefer wide-awake finger fracture reduction, closed percutaneous K-wire fixation, and early protected movement to treat phalangeal fractures. This approach allows intraoperative visualization of active movement after K-wire fixation with the possibility of adjustments during the case. It also negates the need for extensive dissection with subsequent scar formation between the tendons and the bone. It provides the same advantages that are provided by early protected movement after flexor tendon repair.
authors.affiliation: Department of Plastic Surgery, University of British Columbia, 899 West 12th Avenue, Vancouver, British of Colombia V5Z1M9, Canada.
authors.forename: Sol
authors.initials: S
authors.lastname: Gregory
authors.forename: Donald H
authors.initials: DH
authors.lastname: Lalonde
authors.forename: Leslie Tze
authors.initials: LT
authors.lastname: Fung Leung
mesh_terms: D001864:Bone Wires; D000075202:Contraindications; D005383:Finger Injuries / Q000601:surgery; D050278:Finger Phalanges / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods* / Q000534:rehabilitation; D050723:Fractures, Bone / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009068:Movement; D019637:Orthopedic Procedures / Q000379:methods* / Q000534:rehabilitation; D010147:Pain Measurement; D018579:Patient Selection; D011182:Postoperative Care; D016896:Treatment Outcome
keywords: Closed reduction; Finger fracture; K wire; Phalanx