Outcomes of open reduction and plate fixation in hand phalanx fractures

Purpose: The aim of this study is to evaluate the radiological and functional results of open reduction, mini plate fixation in multifragmanter, shortness and followed by loss of reduction in the fractures of the phalanx, Materials and Methods: Between 2008 and 2016, patients who underwent mini plate and screw fixation due to 28 phalangeal fractures in our hospital were evaluated retrospectively. 30 phalanges of 28 patients were included in the study. Quick Dash scores, Grip strength, Functional range of motion were examined. The duration of union, duration of stay, duration of surgery and complications were evaluated. Results: The mean age of the patients was 37.3 (23-57) and the mean follow-up period was 23 (7-84) months. Quick Dash scores in the final follow-up of the patients were evaluated as 8.43 (0-27.5). The grip strength was 43 (25-60) kgW in the fracture and 47 (35-60) kgW in healthy. The total range of motion of the 3 joints of the patients (MP, PIP, DIP) was 240 degrees (170 -270). The mean union time of the patients was 34.9 days (25-50). The mean duration of hospital stay was 1.45 days (1-3). The mean duration of surgery was 60.25 min (45-90). Functionally, 6 of 28 patients had joint stiffness and 1 rotation. Six patients were not satisfied with the surgery.18 patients complained of swelling of the fingers. Conclusion: The advantage of open reduction and plate fixation in phalangeal fractures is a rigid fixation and decreased labor loss in the early period. In the early postoperative period, starting hand movement is important for patients with limited mobility. Surgical treatment of multifragmanter, displacement and shortness phalangeal fractures provides an advantage in early period; Rotation and joint stiffness are the major problems that may be encountered after surgery.