A PROSPECTIVE RANDOMIZED CONTROLLED STUDY OF FIXATION OF LONG OBLIQUE AND SPI...

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A PROSPECTIVE RANDOMIZED CONTROLLED STUDY OF
FIXATION OF LONG OBLIQUE AND SPIRAL SHAFT
FRACTURES OF THE PROXIMAL PHALANX: CLOSED
REDUCTION AND PERCUTANEOUS KIRSCHNER WIRING
VERSUS OPEN REDUCTION AND LAG SCREW FIXATION
T. C. HORTON, M. HATTON and T. R. C. DAVIS
From the Department of Trauma and Orthopaedics, University Hospital Queens Medical Centre, Nottingham, UK
Patients with an isolated spiral or long oblique fracture of the proximal phalanx were randomized
into two groups. One was treated by closed reduction and Kirschner wire fixation and the second
treated by open reduction and lag screw fixation. An independent observer assessed function, pain,
movement, grip strength and intrinsic muscle function. X-rays were assessed for malunion. Thirtytwo
patients were entered the study and 15 in the Kirschner wire and 13 in the lag screw group were
reviewed at a mean follow-up of 40 months. There was no significant difference in the functional
recovery rates or in the pain scores for the two groups. X-rays showed similar rates of malunion and
there were no statistically significant differences in range of movement or grip strength.
Journal of Hand Surgery (British and European Volume, 2003) 28B: 1: 5–9