Treatment of the orthopedic trauma injuries is a highly specialized field that deals with a broad set of conditions and symptoms. Using the latest diagnostic and treatment techniques, Dr. Balaguer can successfully treat your upper extremity injury.
A phalanx fracture can be addressed using one of several treatments based on clinical and radiographic assessment of the fracture and any associated injury.
Non-operative treatments include the following:
- Buddy taping (minimally displaced, no rotation)
- Splinting (minimally displaced, no rotation)
Surgical treatment is necessary if the fracture pattern is unstable.
Operative techniques for treatment are:
- Closed vs. open fixation(irreducible or unstable fracture pattern)
Optimal outcome from surgical treatment demands appropriate surgical plan, atraumatic soft tissue handling, and stable fixation to facilitate early motion.
Most metacarpal injuries can be managed nonoperatively with immobilization or controlled mobilization.
Non-operative technique includes:
-- stable fracture
-- no rotation
-- acceptable angulation and shortening
Some hand fractures require surgery to realign and stabilize the fracture fragments. Operative treatment is recommended for the following:
- Intra-articular fractures
- Rotation of digit
- Significantly displaced fractures
- Multiple metacarpal fractures
Most metacarpal fractures heal in about 10 weeks; therefore, it is normal to have stiffness and swelling for that length of time.
Treatment options range from conservative to surgical interventions. Nonoperative treatment for non-displaced fracture includes:
- Closed reduction immobilization
In most cases, closed reduction and immobilization via a thumb spica orthosis for 4-6 weeks can be effective at managing the fracture.
Operative treatment involves:
- Closed reduction and percutaneous pinning (majority)
-- anatomic reduction unstable
In the long-term outcome after surgical treatment, the overall strength of the affected hand is typically diminished, and post-traumatic osteoarthritis tends to develop in most cases.
There are a number of methods to treat this injury.
May be indicated in highly comminuted fracture.
Surgical treatment is recommended for unstable fractures.
- External fixation
- Closed vs. open fixation
Following surgery, the wrist may be in plaster for a period of six weeks, possibly using a removable splint rather than a fixed plaster cast.