Davos Courses

Executive Editor: Jörg Auer

Authors: Patricia Hogan

Phalanges Proximal sesamoid bones, Abaxial, Fragment removal

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Glossary

Aftertreatment

A splint-pressure bandage is applied prior to recovery from anesthesia. In most cases the splint can be left off after a couple of days.

For abaxial fractures, only a pressure bandage is applied.

Extended stall rest and a gradual return to exercise will typically result in a functional fibrous union, however soundness is dependent upon the degree of osteoarthritis that develops.
Generally stall rest for 90 days followed by hand walking for 30-60 days is sufficient prior to free exercise.

Healing can be monitored radiographically and ultrasonographically. In some cases new bone formation at the fracture site may be noticed after some weeks, which usually do not cause any problems. The potential for return to the previous activities has to be judged cautiously.

v1.3 2013-11-20