Executive Editor: Jörg Auer

Authors: Lawrence Bramlage, Alan Ruggles

Phalanges Proximal phalanx, Dorsal complete biarticular, Screw fixation

back to skeleton



Postoperative management

External coaptation is necessary for all dorsal complete biarticular fractures.

Postoperative management includes box stall confinement for 8 weeks with cast changes at 2-3 week intervals as necessary, usually for 6 weeks.
Anti-inflammatory drugs are used for a minimum of 10 days postoperatively.

Healed fracture

Radiographic follow up

Fracture healing is followed radiographically at 8 weeks post surgery. If the fracture is healing satisfactorily hand-walking exercise may be begun 8 weeks after surgery. Additional exercise recommendations are based on radiographic and clinical progress.

v1.3 2013-11-20