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Bicondylar Fractures of the Proximal Phalanx

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Stable Fixation of the Hand and Wrist

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Abstract

Bicondylar fractures of the proximal phalanx are approached dorsally by incising between the extensor slip and the lateral band on either side of the fracture. Alternatively, osteotomy of the dorsal lip of the proximal portion of the middle phalanx can be performed, and the insertion ofthe central slip can be reflected proximally by dissecting on either side of it, providing excellent visualization of the joint surfaces. A screw hole should be predrilled before the osteotomy so that the dorsal lip can be secured at the end of the procedure.

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Authors and Affiliations

  1. Section of Hand Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA

    Alan E. Freeland M.D. (Professor and Chief, Attending Staff)

  2. Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation Center, Jackson, Mississippi, USA

    Alan E. Freeland M.D. (Professor and Chief, Attending Staff)

  3. Division of Plastic Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA

    Michael E. Jabaley M.D. (Clinical Professor, Attending Staff)

  4. St. Dominic’s-Jackson Health Services Center, Mississippi Baptist Medical Center, River Oaks Hospital, Mississippi Methodist Rehabilitation Center, Jackson, Mississippi, USA

    Michael E. Jabaley M.D. (Clinical Professor, Attending Staff)

  5. Division of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA

    James L. Hughes M.D. (Professor and Chief, Attending Staff)

  6. Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation Center, Jackson, Mississippi, USA

    James L. Hughes M.D. (Professor and Chief, Attending Staff)

Authors
  1. Alan E. Freeland M.D.
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  2. Michael E. Jabaley M.D.
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  3. James L. Hughes M.D.
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© 1986 Springer-Verlag New York Inc.

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Freeland, A.E., Jabaley, M.E., Hughes, J.L. (1986). Bicondylar Fractures of the Proximal Phalanx. In: Stable Fixation of the Hand and Wrist. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8640-7_28

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  • DOI: https://doi.org/10.1007/978-1-4613-8640-7_28

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8642-1

  • Online ISBN: 978-1-4613-8640-7

  • eBook Packages: Springer Book Archive

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