File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Dynamic treatment for proximal phalangeal fracture of the hand

TitleDynamic treatment for proximal phalangeal fracture of the hand
Authors
Issue Date2007
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/
Citation
Journal Of Orthopaedic Surgery (Hong Kong), 2007, v. 15 n. 2, p. 211-215 How to Cite?
AbstractPURPOSE: To assess a protected mobilisation programme (dynamic treatment) for proximal phalangeal fracture of the hand, irrespective of the geometry. METHODS: Clinical and radiological results of 32 consecutive patients with proximal phalangeal fracture of the hand treated from January 2001 to February 2007 were evaluated. Our supervised rehabilitation programme was strictly followed to gain full range of movement of the proximal interphalangeal joint and to prevent the development of an extension lag contracture. Patients were followed up for a mean period of 15 (range, 13-16) months. Results were evaluated using the Belsky classification. RESULTS: The results were excellent in 72% of the patients, good in 22%, and poor in 6%. Some patients defaulted follow-up, which made long-term assessment difficult. The poor results may have been related to patient non-compliance or default from rehabilitation. Many good results upgraded to excellent following further rehabilitation. CONCLUSION: Skeletal stability, not rigidity, is necessary for functional movements of the hand. Proximal phalangeal fractures can be effectively treated by closed methods, using the stabilising effect of soft tissues (zancolli complex-metacarpophalangeal retention apparatus) and external devices (metacarpophalangeal block splint), thus enabling bone healing and movement recovery at the same time.
Persistent Identifierhttp://hdl.handle.net/10722/79544
ISSN
2015 Impact Factor: 0.542
2015 SCImago Journal Rankings: 0.458

 

DC FieldValueLanguage
dc.contributor.authorRajesh, Gen_HK
dc.contributor.authorIp, WYen_HK
dc.contributor.authorChow, SPen_HK
dc.contributor.authorFung, BKen_HK
dc.date.accessioned2010-09-06T07:55:52Z-
dc.date.available2010-09-06T07:55:52Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Orthopaedic Surgery (Hong Kong), 2007, v. 15 n. 2, p. 211-215en_HK
dc.identifier.issn1022-5536en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79544-
dc.description.abstractPURPOSE: To assess a protected mobilisation programme (dynamic treatment) for proximal phalangeal fracture of the hand, irrespective of the geometry. METHODS: Clinical and radiological results of 32 consecutive patients with proximal phalangeal fracture of the hand treated from January 2001 to February 2007 were evaluated. Our supervised rehabilitation programme was strictly followed to gain full range of movement of the proximal interphalangeal joint and to prevent the development of an extension lag contracture. Patients were followed up for a mean period of 15 (range, 13-16) months. Results were evaluated using the Belsky classification. RESULTS: The results were excellent in 72% of the patients, good in 22%, and poor in 6%. Some patients defaulted follow-up, which made long-term assessment difficult. The poor results may have been related to patient non-compliance or default from rehabilitation. Many good results upgraded to excellent following further rehabilitation. CONCLUSION: Skeletal stability, not rigidity, is necessary for functional movements of the hand. Proximal phalangeal fractures can be effectively treated by closed methods, using the stabilising effect of soft tissues (zancolli complex-metacarpophalangeal retention apparatus) and external devices (metacarpophalangeal block splint), thus enabling bone healing and movement recovery at the same time.en_HK
dc.languageengen_HK
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/en_HK
dc.relation.ispartofJournal of orthopaedic surgery (Hong Kong)en_HK
dc.rightsJournal of Orthopaedic Surgery. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshAdolescent-
dc.subject.meshFinger Injuries - physiopathology - radiography-
dc.subject.meshFinger Phalanges - injuries - radiography-
dc.subject.meshFracture Fixation - methods-
dc.subject.meshFractures, Bone - radiography - therapy-
dc.titleDynamic treatment for proximal phalangeal fracture of the handen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1022-5536&volume=15&issue=2&spage=211&epage=5&date=2007&atitle=Dynamic+treatment+for+proximal+phalangeal+fracture+of+the+handen_HK
dc.identifier.emailIp, WY: wyip@hku.hken_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.authorityIp, WY=rp00401en_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.pmid17709864en_HK
dc.identifier.scopuseid_2-s2.0-38449115767en_HK
dc.identifier.hkuros179458en_HK
dc.identifier.hkuros181226-
dc.identifier.hkuros134511-
dc.identifier.hkuros139027-
dc.identifier.hkuros181223-
dc.identifier.volume15en_HK
dc.identifier.issue2en_HK
dc.identifier.spage211en_HK
dc.identifier.epage215en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridRajesh, G=23499507100en_HK
dc.identifier.scopusauthoridIp, WY=35549641700en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK
dc.identifier.scopusauthoridFung, BK=7103203800en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats