Executive Editor: Joseph Schatzker, Richard Buckley

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

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

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Glossary

1 Nonoperative treatment top

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In most cases, the fracture is manually reduced and stabilized with buddy taping.

2 Reduction and K-wire fixation top

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Closed reduction and fixation

The toe is manually reduced by applying traction to the fracture. A 1.25 mm or 1.6 mm K-wire is placed across the DIP and PIP joints, and manually reduced MTP joint.

Fluoroscopic assistance during this procedure is necessary.


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Open reduction and fixation

If unable to reduce the toe with manual reduction, a small dorsal incision over the fracture site may be utilized and the fracture disimpacted and reduced with a Freer elevator.

v2.0 2017-03-23