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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