title: Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures.
abstract: We present the results of 26 patients with 31 consecutive displaced or unstable extra-articular fractures of the base and shaft of the proximal and middle phalanges of the digits of the hand, treated over a period of 12 months with an intramedullary headless compression screw and early mobilization with no splinting. All fractures healed with no major complications. Only one patient, who had a pathological fracture through an enchondroma, required a tenolysis to improve the mobility of the finger. This technique seems to be technically simple, effective and with few drawbacks.
  
  
  METHODS
  IV.
authors.affiliation: Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland t_giesen@hotmail.com.
authors.forename: T
authors.initials: T
authors.lastname: Giesen
authors.affiliation: Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: R
authors.initials: R
authors.lastname: Gazzola
authors.affiliation: Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Poggetti
authors.affiliation: Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: P
authors.initials: P
authors.lastname: Giovanoli
authors.affiliation: Plastic and Hand Surgery Department, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Calcagni
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D015331:Cohort Studies; D004434:Early Ambulation; D005260:Female; D050278:Finger Phalanges / Q000293:injuries*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult
keywords: Proximal phalanx; compression screw; finger fracture; headless screw; intramedullary splinting; middle phalanx; osteosynthesis; osteosynthesis in the hand; phalanx fracture; phalanx fracture fixation