• Distal skeletal traction with a temporary Kirschner wire to facilitate open reduction and internal fixation of phalangeal fractures

    One year ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    In order to achieve successful internal fixation, it is crucial to obtain and maintain anatomical reduction until metalwork is secured in place. Direct manipulation of the fracture site with bone reduction forceps is not always enough to achieve this goal, especially in the context of comminution. In this situation, axial distraction of the fracture site can be a helpful manoeuvre by taking advantage of the ligamentotaxis principle, as distracted soft tissues tend to bring skeletal fragments together.
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