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Novel Wire External Fixation Technique for Proximal Phalanx Pilon Fractures: Technique and 2 Case Reports

Cardoso, Roy MD*; Li, Zhongyu MD, PhD

Techniques in Hand & Upper Extremity Surgery: September 2011 - Volume 15 - Issue 3 - p 162–165
doi: 10.1097/BTH.0b013e31820a02aa

Unstable, severely comminuted fractures of the base of the proximal phalanx are often difficult to treat. We have been treating pilon-type fractures about the metacarpophalangeal joint using a novel external fixation technique with success. We present 2 examples of comminuted base of proximal phalanx fractures were treated successfully using the distraction external fixation with excellent outcomes. We believe that our technique is easily reproducible, relatively inexpensive, facilitates wound care, and enables early mobilization.

* Department of Orthopaedic Surgery, University of Miami, Miami, FL

Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Roy Cardoso MD, 900 NW 17th street, Suite 10A, Miami, FL 33136. e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.