What is the role of surgery in the treatment of palmar lip fractures?

Updated: Jan 18, 2018
  • Author: Jay E Bowen, DO; Chief Editor: Craig C Young, MD  more...
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The preferred treatment for unstable palmar lip fractures is palmar plate arthroplasty, and referral to a surgeon is necessary. Pilon fractures also require a surgical consult. Pilon fractures are placed in traction, and patients should begin active and passive motion as soon as possible. Percutaneous pinning or limited open reduction and internal fixation may be necessary.

A prospective, longitudinal study by Miller et al found that in patients who underwent open reduction and internal fixation of proximal phalangeal fractures, with rehabilitation begun within 1 week of fixation, the greatest degree of recovery with regard to range of motion, hand use, pain, strength, and work participation was seen by the sixth week postoperatively. The study involved 66 patients. [14]

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