The use of traction splint in the management of phalangeal fractures of the hand

Abstract

The use of skin traction splintage is established in the treatment of phalangeal fractures of the fingers. We report our experience with this technique. Fifty patients with 53 different types of closed displaced proximal and middle phalangeal fractures were included in a 4-year study period. Satisfactory radiological reduction was obtained by 48 traction splints applied (90.56%) while five cases required operative intervention (9.44%). The mean duration of traction splint application was 21 days (range 14–28 days). The mean duration of the physiotherapy required after removal of the traction splint was 19 days (range 5–51 days). The mean follow-up period was 39.2 days (range 14–365 days). Out of the 48 traction splints used, full range of movement was obtained in 45 fingers (93.75%). We recommend the use of this technique, as it is a simple, quick, inexpensive, and noninvasive procedure with excellent results.