Comminuted fractures are rarely isolated injuries, as they usually result
from high-energy trauma (crushing). Soft-tissue lesions are frequently
associated with the potential risk of edema, fibrotic reactions and eventual
For these reasons, these injuries are usually treated by ORIF, in order to
provide sufficient stability for immediate mobilization, reducing the risk of
joint stiffness and tendon adhesions.
Even in the hand, which is well vascularized, small fragment comminution means
poor soft-tissue attachment to the fragments and, thereby, compromised