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1Principles

Transverse fractures of the proximal half of the distal phalanx are not well-suited to nonoperative treatment when there is no d

Transverse fractures of the proximal half of the distal phalanx are not well-suited to nonoperative treatment when there is no direct contact between the fragments. These fractures are often unstable and, in open fractures, the nail bed is often folded into the fracture. In these cases, open reduction and internal fixation are indicated.