{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T10:55:02Z","timestamp":1793271302352,"version":"4.5.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T00:00:00Z","timestamp":1661126400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T00:00:00Z","timestamp":1661126400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Bern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Phalangeal fractures are the most common injuries in humans and account for approximately 10% of all fractures. With plate fixation, anatomic reduction is achievable in most cases, but extension lag is seen in up to 67%. Intramedullary headless screw offers treatment of unstable proximal phalangeal fractures using a minimally invasive procedure with very few complications. One of the major disadvantages of this technique is the transarticular screw position, damaging the articular surface and thus preventing very proximal fractures from being treated with a distally inserted screw. In this study, we present a modified approach to the fixation of the proximal phalangeal fractures and compare outcomes with plate osteosynthesis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>Twenty-nine patients with 31 comparable fractures of the proximal phalanx were treated either with a plate (14) or with minimal invasive cannulated compression screw (17). Pain, strength, range of motion (ROM), work disability and QuickDASH score were assessed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>TAM was significantly better in the screw group. The extension lag was worse in the plate group. Plate removal had to be performed in 13 of 14 the cases, while the screw had to be removed in only 3 cases. The average duration of work disability was 9.9\u00a0weeks in the plate group, compared to 5.6\u00a0weeks in the screw group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Minimally invasive screw osteosynthesis not only has the advantage of significantly shorter work disabilities, but also shows remarkably improved postoperative range of motion. In contrast to plate osteosynthesis, removal of the screw is only necessary in exceptional cases. With the antegrade screws position, even difficult fractures close to the base can be treated without destroying any articular surface. In proximal phalanx fractures with both options of plate or single-screw osteosynthesis, we recommend minimal invasive cannulated screw osteosynthesis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-022-04516-z","type":"journal-article","created":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T12:09:12Z","timestamp":1661170152000},"page":"1699-1706","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Comparing treatment of proximal phalangeal fractures with intramedullary screws versus plating"],"prefix":"10.1007","volume":"143","author":[{"given":"Kaspars","family":"Silins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tutku","family":"Turkmen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"V\u00f6gelin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3591-1165","authenticated-orcid":false,"given":"Luzian C. P.","family":"Haug","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,22]]},"reference":[{"issue":"2","key":"4516_CR1","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/0266-7681(94)90157-0","volume":"19","author":"JJ De Jonge","year":"1994","unstructured":"De Jonge JJ, Kingma J, van der Lei B, Klasen HJ (1994) Phalangeal fractures of the hand an analysis of gender and age-related incidence and aetiology. J Hand Surg [Br] 19(2):168\u2013170","journal-title":"J Hand Surg [Br]"},{"key":"4516_CR2","doi-asserted-by":"publisher","first-page":"p195","DOI":"10.1007\/978-1-4471-6560-6","volume-title":"Disorders of the Hand: Hand Injuries","author":"IA Trail","year":"2015","unstructured":"Trail IA, Fleming ANM (2015) Disorders of the Hand: Hand Injuries, vol 1. 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Rev Bras Ortop 51:16\u201323","journal-title":"Rev Bras Ortop"},{"issue":"4","key":"4516_CR5","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1177\/1558944717750919","volume":"14","author":"MP Gaspar","year":"2019","unstructured":"Gaspar MP, Gandhi D, Culp R, Kane PM (2019) Dual antegrade intramedullary headless screw fixation for treatment of unstable proximal phalanx fractures. Hand (N Y) 14(4):494\u2013499","journal-title":"Hand (N Y)"},{"key":"4516_CR6","doi-asserted-by":"publisher","first-page":"688","DOI":"10.1177\/1753193416641330","volume":"41","author":"T Giesen","year":"2016","unstructured":"Giesen T, Gazzola R, Poggetti A, Giovanoli P, Calcagni M (2016) Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures. 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This study was conducted in accordance with all the provisions of the local human subject\u2019s oversight committee guidelines and policies of the local ethics committee.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was signed by all the patients.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}