{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:00:03Z","timestamp":1773054003127,"version":"3.50.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,7,9]],"date-time":"2022-07-09T00:00:00Z","timestamp":1657324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction and importance:<\/jats:title>\n The rotational deformity is formed due to the instability of the fixation device used before in a spiral or oblique fracture pattern, and will create uncomfortable sensation also disturb daily activities. This condition usually treated with several methods of osteotomies and implants, that involving large wound and longer period of healing.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n A 27-year-old male with chief complaint of discomfort sensation when the ring finger flexed and it was disturbing the daily activities. Two years ago, the patient was diagnosed with minimally displace closed fracture of the ring finger phalanx media and treated with buddy tapping for six months and become a malunion until now. Multiple drill hole osteotomy were made to correct the rotational position and fixed with Herbert screws. Three months follow up, the wound healed nicely and able to perform his daily activity.<\/jats:p>\n <\/jats:sec>\n \n Clinical discussion:<\/jats:title>\n Malunion that was formed from previous inadequate treatment could make uncomfortable sensation and disturbing daily activities usually treated with large osteotomies. Multiple drill hole (MDH) usage in combination with the Herbert screw to fix the new fracture line had several advantages compared to standard methods that were previously performed.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The combination of multiple drill hole and Herbert screws could be an alternative procedure with minimal surgical wounds. Without implant removal in the future, the patient can proceed to rehabilitation and return to his daily activities.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107410","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T13:11:38Z","timestamp":1657717898000},"page":"107410","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Multiple drill hole osteotomy and Herbert screw for correcting a-2 years ring finger phalanx media malunion"],"prefix":"10.1097","volume":"97","author":[{"given":"Huda Fajar","family":"Arianto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Bayu Zohari","family":"Hutagalung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunus Abdul","family":"Bari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-38-20260309","doi-asserted-by":"crossref","first-page":"846E","DOI":"10.1097\/PRS.0000000000007840","article-title":"An evidence-based guide for managing phalangeal fractures","volume":"147","author":"Ganesh Kumar","year":"2021","journal-title":"Plast. 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Trauma"},{"key":"R4-38-20260309","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1142\/S2424835520500265","article-title":"Outcomes following open reduction and internal fixation in proximal phalangeal fracture with rotational malalignment","volume":"25","author":"Lee","year":"2020","journal-title":"J. Hand Surg. Asian-Pac"},{"key":"R5-38-20260309","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R6-38-20260309","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.hcl.2006.03.001","article-title":"Malunions of the finger metacarpals and phalanges","volume":"22","author":"Freeland","year":"2006","journal-title":"Hand Clin"},{"key":"R9-38-20260309","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1302\/2058-5241.5.190068","article-title":"Intramedullary compression screw fixation of metacarpal and phalangeal fractures","volume":"5","author":"Guidi","year":"2020","journal-title":"EFORT Open Rev"},{"key":"R10-38-20260309","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1177\/1753193416641330","article-title":"Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures","volume":"41","author":"Giesen","year":"2016","journal-title":"J. Hand Surg. Eur"},{"key":"R11-38-20260309","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1177\/1753193420980324","article-title":"Outcomes of 173 metacarpal and phalangeal fractures treated by intramedullary headless screw fixation with a 4-year follow-up","volume":"46","author":"Poggetti","year":"2021","journal-title":"J. Hand Surg. Eur"},{"key":"R12-38-20260309","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1177\/1753193420919060","article-title":"Cartilage and extensor tendon defects after headless compression screw fixation of phalangeal and metacarpal fractures","volume":"45","author":"Urbanschitz","year":"2020","journal-title":"J. Hand Surg. 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