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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2024; 52(01): e62-e66
DOI: 10.1055/s-0044-1787074
Técnica Quirúrgica | Surgical Technique

Treatment of Intra-Articular Phalanx Malunions with Extra-Articular Osteotomies and Osteosynthesis with Intramedullary Screws

Article in several languages: español | English
Maria Larrea Zabalo 
1   Hospital de Bidasoa, Hondarribia, Guipúzcoa, España
,
Angel Ferreres Claramunt
2   Institut Kaplan, Clínica Creu Blanca, Barcelona, Cataluña, España
,
Miguel Eugenio Perez Abad
2   Institut Kaplan, Clínica Creu Blanca, Barcelona, Cataluña, España
3   Hospital de Mataró, Mataró, Cataluña, España
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Abstract

Malunions of intra-articular fractures in phalanges cause deformities that limit function and are not well tolerated. On the other hand, their treatment with intra-articular osteotomies is associated with complications, mainly stiffness. We herein present a series of two cases of intra-articular malunion treated through extra-articular osteotomy and synthesis through a little invasive method: intramedullary screws. After the aforementioned procedure, the patients presented full range of motion and were able to return to their activities without pain in less than 3 months. The main advantages of the technique described are, on the one hand, the avoidance of complications secondary to intra-articular procedures, and, on the other hand, the use of devices that require less aggressive approaches and less wide deperiostizations.

Keywords

interphalangeal joint fracture - unicondylar - intramedullary screw - malunion


Publication History

Received: 24 January 2023

Accepted: 28 January 2024

Article published online:
07 June 2024

© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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