Executive Editor: Joseph Schatzker, Richard Buckley

Authors: Michael Castro, Richard Buckley, Andrew Sands, Christina Kabbash

Phalanges - 2nd-5th row, distal phalanx, multifragmentary

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Glossary

General considerations

This is one of the most painful injuries of the lower extremities. Release of hematoma and surgical reconstruction can deal with the pressure build up and pinning may be needed if there is gross deformity.

Reinsertion of the nail
Main indication Skill Equipment
Mangled toe with painful subungual hematoma Some specialized surgical experience Simple surgical and imaging resources

Indications

  • Open or grossly displaced fractures
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2017-03-23