Use of the InFrame IM Threaded Micro Nail for Percutaneous Proximal Phalanx Fracture – Lloyd Champagne MD – Case Study

Case Presentation: 26 year old male presenting with a little finger proximal phalanx fracture from a ground level fall while playing sports. He was placed into a splinter in the E.R and told to follow up with a hand surgeon. He presented post injury day 5 with an oblique little finger angulated, unstable proximal phalanx fracture. Treatment:  With an angulated unstable proximal phalanx fracture, options included the possibility of a closed reduction and immobilization vs operative fixation. Due to the instability pattern of the fracture, operative fixation was chosen. Consideration was for K-wires, vs. plating vs. InFrame fixation. The initial first choice was to use an intramedullary technique using InFrame to avoid scars from incisions, to speed up operative time, and to avoid tissue interaction with the device as occurs with K-wires and plates. The procedure was performed on post-injury day six. Intra-operative fluoro helped define and understand the fracture pattern as short oblique with very little comminution. No other fractures were identified.