Executive Editor: Jörg Auer

Authors: Lawrence Bramlage, Alan Ruggles

Phalanges Proximal phalanx, Multifragmentary, Screw fixation

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Postoperative management

External coaptation is necessary for all comminuted fractures.

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

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