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1Principles

Transverse head fracture of the proximal phalanx – Minicondylar compression plate fixation

Indications

Fractures of the distal metaphysis can be transverse, oblique, or comminuted.
Always confirm the fracture configuration in views from both planes.
Stable undisplaced fractures can be treated nonoperatively. Any displacement or instability will usually require ORIF.
Other indications for ORIF are open fractures, or soft-tissue lacerations. In these cases, ORIF is the best option.