Injury Pattern Recognition and Surgical Technique of Pilon Fracture Reduction With Posterior Tibial Tendon Incarceration.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors report no conflict of interest. 16. Hand Clin. 2014 Feb;30(1):7-15. doi: 10.1016/j.hcl.2013.08.014. Epub 2013 Nov 9. Minimally invasive finger fracture management: wide-awake closed reduction, K-wire fixation, and early protected movement. Gregory S(1), Lalonde DH, Fung Leung LT. Author information: (1)Department of Plastic Surgery, University of British Columbia, 899 West 12th Avenue, Vancouver, British of Colombia V5Z1M9, Canada. We prefer wide-awake finger fracture reduction, closed percutaneous K-wire fixation, and early protected movement to treat phalangeal fractures. This approach allows intraoperative visualization of active movement after K-wire fixation with the possibility of adjustments during the case. It also negates the need for extensive dissection with subsequent scar formation between the tendons and the bone. It provides the same advantages that are provided by early protected movement after flexor tendon repair. Copyright © 2014 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2013.08.014