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Very
comminuted phalangeal fractures
Fingers
are at risk for severe crush and other high force mechanisms which results
in many small fracture fragments. Treatment requires ingenuity, judgment,
patience and luck to achieve a satisfactory result. In addition to the
usual treatment options, these fractures may require treatment with immediate
bone grafting and/or external fixation (Fig.
5). Unfortunately, after a high-energy phalangeal fracture, many
fingers are doomed to stiffness regardless of surgical efforts (Duncan).
Comminuted
Phalangeal fractures
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