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A new technique for closed management of displaced intra- articular fractures of metacarpal and phalangeal head delayed on presentation: report of eight cases

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Journal of Hand Surgery (European Volume): Journal of the British Society for Surgery of the Hand & Official Journal of the Federation of European Societies for Surgery of the Hand

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Abstract

We present the outcomes of the delayed management of eight displaced intra-articular fractures of the metacarpal and phalangeal heads treated with capsuloligamentotaxis using the Penning mini-external fixator. Closed anatomical reduction with a 2 mm over-distraction was achieved at the time of operation at an average of 20 days after the initial injury. Excellent outcomes in terms of function and pain were obtained at 6 month’s follow-up in all cases. This technique is simple, minimally invasive, and effective, with minimal complications.