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Executive Editor: Joseph Schatzker, Richard Buckley

Authors: Michael Castro, Richard Buckley, Andrew Sands, Christina Kabbash

Phalanges

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Glossary

Hallux, proximal phalanx, diaphysis, simple

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF: screw fixation Deformity (malrotation or malangulation) Some specialized surgical experience Simple surgical and imaging resources

Hallux, proximal phalanx, base, shear fracture

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF: screw fixation Fracture dislocations and significant articular surface malreduciton Some specialized surgical experience Simple surgical and imaging resources

Hallux, proximal phalanx, base, intraarticular, T-type

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF: screws or plate Displaced intraarticular fractures (> 2 mm) Some specialized surgical experience Basic equipment only

Hallux, proximal phalanx, base, intraarticular, comminuted

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF or MTP joint fusion Displaced comminuted intraarticular fractures (> 2 mm) Some specialized surgical experience Simple surgical and imaging resources

Hallux, proximal phalanx, head, intraarticular

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF or K-wire fixation Displaced intraarticular fractures (> 2 mm) Basic surgical experience, no specialized skills Basic equipment only

Hallux, distal phalanx, base, impression fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Excision A stable interphalangeal joint with a single large piece Some specialized surgical experience Simple surgical and imaging resources

2nd-5th row, MTP-joint dislocation

Please select a treatment option:
Treatment Main indication Skill Equipment
CRIF: K-wire fixation Irreducible 2nd-5th MTP joints, irreducible fracture dislocations of 2nd-5th MTP joints Some specialized surgical experience Simple surgical and imaging resources

2nd-5th row, proximal phalanx, head, small fragment

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonoperative treatment Malrotation and malalignment Basic surgical experience, no specialized skills Basic equipment only

2nd-5th row, distal phalanx, multifragmentary

Please select a treatment option:
Treatment Main indication Skill Equipment
Reinsertion of the nail Mangled toe with painful subungual hematoma Some specialized surgical experience Simple surgical and imaging resources

2nd-5th row, proximal phalanx, base, intraarticular, T-type

Please select a treatment option:
Treatment Main indication Skill Equipment
K-wire fixation Displaced intraarticular fracture (> 2 mm) Some specialized surgical experience Basic equipment only

2nd-5th row, proximal phalanx, head, intraarticular

Please select a treatment option:
Treatment Main indication Skill Equipment
K-wire fixation Displaced intraarticular fracture (> 2 mm) or deformity Some specialized surgical experience Basic equipment only

2nd-5th row, proximal phalanx, excessively displaced

Please select a treatment option:
Treatment Main indication Skill Equipment
K-wire fixation Instability or gross displacement Some specialized surgical experience Basic equipment only

Special considerations

Compartment syndrome
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v2.0 2017-03-23