Executive Editor: Chris Colton
Authors: Fiesky Nuñez, Renato Fricker, Matej Kastelec, Terry Axelrod
Distal phalanx
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Distal and shaft, transverse
Please select a treatment option:
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Treatment |
Main indication |
Skill |
Equipment |
Nonoperative treatment
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Undisplaced closed fracture |
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K-wire fixation
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Displaced, unstable or open fracture |
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Proximal, Dorsal avulsion
Please select a treatment option:
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Treatment |
Main indication |
Skill |
Equipment |
Nonoperative treatment
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Stable joint after reduction, minimal fragment displacement |
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K-wire immobilization
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Palmar subluxation of the DIP joint, very small dorsal fragment, open fractures |
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Lag screw fixation
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Palmar subluxation of the DIP joint, moderate to large size dorsal fragment, open fractures |
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Tension-band wire
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Palmar subluxation of the DIP joint, moderate size dorsal fragment, open fractures |
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K-wire fixation
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Palmar subluxation of the DIP joint, fragment large enough for K-wire fixation, open fractures |
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Proximal, Palmar avulsion
Please select a treatment option:
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Treatment |
Main indication |
Skill |
Equipment |
Nonoperative treatment
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Stable joint after reduction |
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K-wire fixation
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Joint instability, disruption of the flexor tendon insertion, small bony fragment |
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Suture fixation
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Disruption of flexor tendon insertion, small bony fragment |
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Lag screw fixation
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Palmar subluxation of the DIP joint, open fractures, bony fragment large enough for screw fixation |
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Dislocation
Please select a treatment option:
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Treatment |
Main indication |
Skill |
Equipment |
Nonoperative treatment
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Stable joint after reduction |
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K-wire fixation
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Unstable DIP joint after closed reduction |
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Distal and shaft, multifragmentary
Please select a treatment option:
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Treatment |
Main indication |
Skill |
Equipment |
Nonoperative treatment
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Stable, undisplaced, and closed fracture |
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K-wire fixation
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Unstable, comminuted, or open fractures |
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*Skill |
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Basic surgical experience, no specialized skills |
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Some specialized surgical experience |
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Highly experienced and skilled surgeon |
*Equipment |
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Basic equipment only |
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Simple surgical and imaging resources |
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Full specialized surgical and imaging resources |
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