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Dorsal to the middle phalanx

The dorsal approach is indicated for oblique, spiral, comminuted, or transverse fractures of the diaphysis, or metaphysis ...

Indications

The dorsal approach is indicated for oblique, spiral, comminuted, or transverse fractures of the diaphysis, or metaphysis of the middle phalanx.
It can also be used for corrective osteotomies of malunited fractures.