Fractures of the proximal phalanx are common injuries encountered in both adult and pediatric populations. These fractures can result from various trauma mechanisms, including sports injuries, falls, and direct blows. Prompt and effective treatment is crucial to restore the function of the hand, maintain joint stability, and prevent long-term complications such as malunion, stiffness, and joint contractures. Among the treatment modalities for these fractures, surgical intervention is often indicated when conservative management fails to achieve or maintain proper alignment. Several surgical techniques are employed to ensure optimal outcomes, with transarticular pinning and cross pinning from the base being two widely used approaches. Transarticular pinning involves the insertion of pins across the metacarpophalangeal (MCP) joint to stabilize the fracture, ensuring accurate alignment while minimizing disruption to the surrounding soft tissue. This method offers a straightforward approach with secure fixation but may pose potential risks, such as articular cartilage damage and limited postoperative joint movement. On the other hand, cross pinning from the base, which involves placing pins at the base of the proximal phalanx without crossing the MCP joint, presents an alternative stabilization technique. This approach aims to provide adequate fracture fixation while preserving the integrity of the joint surface, potentially allowing for improved postoperative mobility and decreased risk of joint-related complications. However, cross pinning may present challenges in achieving secure and stable fixation, especially in complex fracture patterns.
Semaya, A., Ahmad, M., Abdelmaksoud Mohamed, I., & Eid, A. (2024). COMPARATIVE STUDY BETWEEN TRANSARTICULAR PINNING THE METACARPOPHALANGEAL JOINT AND CROSS PINNING FROM THE BASE FOR PROXIMAL PHALANX FRACTURES. ALEXMED ePosters, 6(4), 71-72. doi: 10.21608/alexpo.2024.340008.2020
MLA
Ahmed Elsayed Semaya; Mohammad Hasan Ahmad; Islam Mohamed Abdelmaksoud Mohamed; Amr Gamal Ahmed Eid. "COMPARATIVE STUDY BETWEEN TRANSARTICULAR PINNING THE METACARPOPHALANGEAL JOINT AND CROSS PINNING FROM THE BASE FOR PROXIMAL PHALANX FRACTURES", ALEXMED ePosters, 6, 4, 2024, 71-72. doi: 10.21608/alexpo.2024.340008.2020
HARVARD
Semaya, A., Ahmad, M., Abdelmaksoud Mohamed, I., Eid, A. (2024). 'COMPARATIVE STUDY BETWEEN TRANSARTICULAR PINNING THE METACARPOPHALANGEAL JOINT AND CROSS PINNING FROM THE BASE FOR PROXIMAL PHALANX FRACTURES', ALEXMED ePosters, 6(4), pp. 71-72. doi: 10.21608/alexpo.2024.340008.2020
VANCOUVER
Semaya, A., Ahmad, M., Abdelmaksoud Mohamed, I., Eid, A. COMPARATIVE STUDY BETWEEN TRANSARTICULAR PINNING THE METACARPOPHALANGEAL JOINT AND CROSS PINNING FROM THE BASE FOR PROXIMAL PHALANX FRACTURES. ALEXMED ePosters, 2024; 6(4): 71-72. doi: 10.21608/alexpo.2024.340008.2020
)
View on SCiNiTO