Executive Editor: Joseph Schatzker

Authors: Michael Castro, Rick Buckley, Andrew Sands

Phalanges

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Glossary

Hallux, proximal phalanx - diaphysis - simple

Please select a treatment option:
Treatment Main indication Skill Equipment
ORIF - Screw fixation Indication for ORIF is deformity, such as 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 - distal phalanx - base - impression fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Excision A stable interphalgeal 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 Any of second through fifth MTP joints that cannot be reduced and maintained in a reduced position. When volar plantar plate is ruptured and interposed then failure of closed reduction and maintenance of reduction is common. Some specialized surgical experience Simple surgical and imaging resources

3rd - 5th Row

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

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

v1.0 2012-06-04