Dynamic traction for base of proximal phalanx fractures
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X-rays show complex fractures of the base of the proximal phalanges of the index and middle fingers. This patient was hit by a snowboarder |
As expected the fractures would not reduce into a satisfactory position in plaster |
We chose to treat the fractures by external dynamic traction to allow healing whilst retaining finger movement. The wire positions are marked |
First wire half way through the index finger. This was all performed under local anaesthtic i.e. the patient was awake |
Wire in the index finger and second wire being placed into the middle finger |
Middle finger wire about to be bent |
Middle finger wire has been bent. The index finger wire is being bent |
The wires have been bent |
The bent wires are held togethor for rigidity prior to the traction (pulling out) being applied |
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