Clinical analysis of the complexity of the proximal phalanx fracture fixation with mini titanium mesh

Abstract

Objective To discuss the clinical effect of fixation for complex fractures of the proximal phalanx with mini titanium mesh. Methods 70 cases(82 fingers) with complexity proximal phalanx fracture were selected, they were treated with micro titanium mesh fixation.The fracture healing (X-ray examination) time and postoperative functional recovery of finger were observed. Results 70 patients were followed up for 12-18 months, average of 15.8 months.74 fingers were Ⅰ wound healing, delayed wound healing in 8 fingers, after dressing healed well.70 patients with 82 fractures were all healed(X-ray) after 8-10 weeks, average of 9.7 weeks.According to 1975 American Society of Hand Surgery recommended TAM(total active movement, TAM) system evaluation method, excellent in 44 cases, good in 20 cases, fair in 4 cases and poor in 2 cases, the good rate was 91.43%. Conclusion The effect of micro titanium mesh within the complex proximal phalanx fracture fixation is good, with satisfactory functional recovery of finger. Key words: Fractures, comminuted; Phalangeal fracture; Fracture fixation, internal; Bone wires