Fractures of the phalanges: results of internal fixation using 1.5mm and 2mm A O screws

Abstract

Thirty-six patients were treated for 38 phalangeal fractures using 1.5 mm and 2 mm A. 0. screws. Plates were not used in the fingers. Oblique fractures of the condyles, shafts or bases of the proximal or middle phalanges were treated by internal fixation because of instability, displacement or rotation. 40 % of fractures had associated skin wounds, were comminuted or had damage to the extensor mechanism. The mean duration of post-operative immobilization was 9 days and the mean time off work was 6 weeks. Total active movement in the involved ra