What is the prognosis of phalangeal fractures?

Updated: Jan 18, 2018
  • Author: Jay E Bowen, DO; Chief Editor: Craig C Young, MD  more...
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Answer

Most phalangeal fractures heal without significant complications. Fractures that involve a joint are more prone to prolonged stiffness and decreased range of motion.

Onishi et al conducted a study consisting of 70 patients with 75 unstable proximal phalangeal fractures to determine the risk factors for postoperative finger stiffness after open reduction and internal fixation of unstable proximal phalangeal fractures using a low-profile plate and/or screw system. The study found that plate fixation and dorsal placement were independent risk factors for finger stiffness. The study recommended the use of screw fixation as much as possible for unstable proximal phalangeal fractures using a midlateral approach. [15]


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