Treatment of Proximal Phalanx Fractures With an Intramedullary Fixation Approach
Phalangeal fractures are one of the most common upper extremity fractures, of which the proximal phalanx is most often injured.1 Traditionally, proximal phalanx fractures have been treated with conventional surgical techniques involving Kirschner wires (K-wires) and plates and screws, or non-operatively with splints and casts. Unfortunately, these approaches require long periods of immobilization for adequate fracture stability and are associated with complications such as stiffness, tendon adhesions, and infections.2
In recent years, intramedullary (IM) fixation has been advocated for treatment of proximal phalanx fractures due to the advantages of avoiding periosteal stripping and allowing for immediate range of motion (ROM).3 With IM fixation gaining momentum among hand surgeons as one of the newest options for treating the proximal phalanx,1 this booklet was assembled as a quick and simple resource to provide background, surgical technique, pearls, considerations, and case studies on the approach.