Alternative Noninvasive Treatment of Unstable Extra-articular Proximal and Middle Phalangeal Fractures: A Static Linear Traction Orthosis Design

Extra-articular unstable proximal and middle phalanx fractures are typically managed with surgical means with common complications of tendon tethering, stiffness, and secondary hand dysfunction. As a result, alternative conservative measures are being explored. The use of static linear traction through the application of an orthosis allows for fracture reduction and anatomic healing, with successful range of motion outcomes.

[1]  S. Wood,et al.  Early Active Vector Adjustable Skin Traction (EAVAST) for Phalangeal Fractures , 2016 .

[2]  B. Berghs,et al.  Treatment of fractures of the proximal phalanx of long fingers with an isometric traction splint. , 2012, Acta orthopaedica Belgica.

[3]  S. Jehan,et al.  Management of Proximal Phalangeal Fractures of the Hand Using Finger Nail Traction and a Digital Splint: A Prospective Study of 43 Cases , 2012, Clinics in orthopedic surgery.

[4]  M Malahias,et al.  Principles of Hand Fracture Management , 2012, The open orthopaedics journal.

[5]  Rahul Krishnarao Patil,et al.  Traction splints: effective nonsurgical way of managing proximal phalanx fractures. , 2009, The Journal of trauma.

[6]  Maureen A Hardy,et al.  Principles of metacarpal and phalangeal fracture management: a review of rehabilitation concepts. , 2004, The Journal of orthopaedic and sports physical therapy.

[7]  G. Bain,et al.  Derotation Taping for Metacarpal and Phalangeal Fractures , 2003, Techniques in Hand & Upper Extremity Surgery.

[8]  S. Chinchalkar,et al.  Management of proximal interphalangeal joint fractures and dislocations. , 2003, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[9]  P. LaStayo,et al.  Fracture healing: bone healing, fracture management, and current concepts related to the hand. , 2003, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[10]  L. Styrcula.  Traction Basics Part I , 1994, Orthopedic nursing.

[11]  R. Schenck.  Dynamic traction and early passive movement for fractures of the proximal interphalangeal joint. , 1986, The Journal of hand surgery.

[12]  J. Fitzgerald,et al.  The Conservative Management of Fractures of the Shafts of the Phalanges of the Fingers by Combined Traction-Splintage , 1984, Journal of hand surgery.

[13]  D. Wainwright.  FRACTURES OF THE METACARPALS AND PHALANGES. , 1964, Proceedings of the Royal Society of Medicine.