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Curved approach (prox. phalanx)

Skin incision

Skin incision

This approach can be used for open reduction and internal fixation of comminuted fractures with a medial intact strut of bone or for transverse body fractures repaired with double-plating.

A curved incision through the skin and subcutaneous tissues is performed at the lateral side, extending distally from the distal end of the fourth metatarsal/metacarpal bone to approximately one half of the length of the proximal phalanx.

For double-plating in transverse body fractures, the incision over the dorsal aspect of the proximal phalanx may have to be carried more axially to apply a plate on the dorsal medial aspect of the bone.