Executive Editor: Chris Colton

Authors: Fiesky Nuñez, Renato Fricker, Matej Kastelec, Terry Axelrod

Distal phalanx - Distal & shaft, multifragmentary

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Removal of the splint and skin care must be performed by the patient in 1-2 day intervals.

Functional exercises of the nonimmobilized joints can be started immediately.

Duration of immobilization
X-ray controls have to be performed immediately after the splint has been applied.

Follow-up x-rays with the splint should be taken after 1 week, and possibly after 2 weeks. Immobilization is continued until about 4 weeks after the injury. At that time an x-ray without the splint is taken to confirm healing. Splinting can then usually be discontinued and active mobilization is initiated.

If after 8 weeks radiographs confirm healing, full loading can be permitted.

Tuft fractures
In tuft fractures, splinting is mainly performed for pain treatment, and usually after 3 weeks, the splint can be discontinued. These injuries do not necessarily need x-ray control.

v2.0 2016-06.30