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Journal of the Korean Society for Surgery of the Hand 2009;14(4):225-229.
Published online December 1, 2009.
Multiple Pinning in Base Fracture of Distal Phalanx
Duke Whan Chung, Chung Soo Han, Jae Hoon Lee, Hyun Chul Park, Jin Young Kim, Dong Geun Kang, Geon Wook Seo, Jin Chang
1Department of Orthopedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. haddal12345@naver.com
2Department of Orthopaedic Surgery, Woori General Hospital, Gyeonggi-do, Korea.
Abstract
Purpose
The purpose of this study was to evaluate the use of multiple pinning in base fracture of distal phalanx. MATERIALS AND METHODS: We reviewed the results of 8 patients treated with a multiple pinning in fracture of distal phalanx base. There were 7 men and 1 woman, and the mean age was 52.6 years(45~66 years). The type of injury was a crushing injury in 6 patients and, in direct trauma in 2. The injured finger was thumb in 4 patients, index finger in 1, long finger in 1, and ring finger in 2. We used three K-wires for fixative devices in all fractured phalanx. The average removal period of K-wire was 6.5 weeks(5~8 weeks).

Results
Postoperatively, immobilization was applied for 6.5 weeks (5~8 weeks). The mean fragment size was 33.8%(10~50%) of long axis of distal phalanx. The range of motion was 1.3degrees (0~5degrees ) in extension lag and 88.1degrees (85~90degrees ) of flexion of the distal interphalangeal joint.

Conclusion
The multiple pinning of base fracture of distal phalanx was one of the useful method to stabilizing of distal phalanx fracture.
 
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