Comminuted fractures are rarely isolated injuries, as they usually result from high-energy trauma (crushing). Soft-tissue lesions are frequently associated with the potential risk of edema, fibrotic reactions and eventual stiffness.
For these reasons, these injuries are usually treated by ORIF, in order to provide sufficient stability for immediate mobilization, reducing such risks.
|Well aligned phalanx without rotational or axial deformity|
- Open fractures
- Rotational or axial deformity
|Minicondylar bridge plate fixation|
|Rotational or axial deformity, open fractures, associated soft tissue injury|
- Gross contamination
- Lack of adequate bone stock
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|