Operative Techniques: Hand and Wrist Surgery

Treatment of extraarticular phalangeal fractures

Indications Reduction and fixation should be performed for all fractures that cannot be reduced with closed methods or for those that remain unstable with loss of reduction after successful closed reduction. Fractures with angulation more than 10 degrees or shortening…

Kirschner wire fixation of mallet fractures

Seymour fractures and nail bed repair Indications Seymour fracture is defined as a displaced physeal fracture of the distal phalanx with an associated nail bed injury. This pediatric fracture pattern is typically caused by a crush injury and can be…

Principles of bone fixation and healing

The essential components of fracture healing Fracture healing is a complex and dynamic process that restores injured bones to prefracture conditions. Fracture healing requires coordinated interactions among multiple cell types, cytokines, and growth factors. The healing process is influenced by…