Annual Report

Executive Editor: Chris Colton

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

Thumb - Proximal phalanx: Metaphyseal (head) - transverse

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Glossary

General considerations

Fractures of the distal metaphysis can be transverse, oblique or comminuted.
Comminuted fractures are often unstable. 
Irreducible and unstable fractures require ORIF.
Other indications for ORIF are open fractures, or soft-tissue lacerations. 

Minicondylar compression plate fixation
Main indication Skill Equipment
Rotational or axial deformity, open fractures, associated soft tissue injury Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Contraindications

  • Gross contamination
  • Lack of adequate bone stock
*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

v1.0 2008-11-08