FUNCTIONAL OUTCOMES OF PROXIMAL PHALANX FRACTURES BY K-WIRE FIXATION

Fractures of the proximal phalanx are an extremely common occurrence that are often neglected, receiving delayed treatment and inadequate reduction. These fractures often produce debilitation, pain and deformity attributed to malunion, stiffness, prolonged rehabilitation needed for recovery and functional improvement. This often hampers the quality of life and activities of daily living of patients, thus producing significant distress and dissatisfaction among them. This emphasizes the need for precise surgical techniques and initiating early mobilization to achieve favorable functional outcomes. A retrospective study was performed on the functional outcomes of 13 patients with 17 proximal phalanx fractures, without any associated tendon injuries, treated by K-wire fixation and early active mobilization. These patients were followed up for a minimum duration of 3 months and all patients showed excellent outcomes and achieved full pain-free range of movements within 6 weeks post-operatively. Post-operatively, none of the patients had complications such as rotational mal-union, implant failure, infection, and stiffness. We exhibit promising outcomes for the management of fractures of the proximal phalanx by percutaneous K-wire fixation and immediate meticulous hand therapy.