{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:13:09Z","timestamp":1782742389015,"version":"3.54.5"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2017,9,12]],"date-time":"2017-09-12T00:00:00Z","timestamp":1505174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2017,9,12]],"date-time":"2017-09-12T00:00:00Z","timestamp":1505174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The optimal timing for surgical stabilization after open fractures of proximal and middle phalangeal shaft remained unclear. Total 147 patients with single open fracture in proximal or middle phalangeal shaft (arrived within 8\u2009hours) who received K-wire fixation from June 2012 to June 2015 were included for analysis. The timing for surgical stabilization of fractures (immediate or delayed) was decided according to the surgeons\u2019 preferences. The Michigan hand outcomes questionnaire (MHQ) scores, grip strength and total active motion (TAM) one year after the initial surgery were similar between the two groups. There was no significant difference in the incidence of tenosynovitis, bone nonunion. The overall infection rate in immediate fixation group was slightly but not significantly higher compared with the delayed fixation group (29.2% versus 20.7% <jats:italic>P<\/jats:italic>\u2009=\u20090.212). However, patients with both palmar and dorsal wounds who received immediate fixation had much higher infection rate compared with delayed fixation (52.6% versus 22.7%, <jats:italic>P<\/jats:italic>\u2009=\u20090.047). The immediate fixation could reduce costs and the period of hospitalization. Open fractures with both palmar and dorsal wounds should be treated with delayed fixation of K-wires otherwise stabilized immediately after injury.<\/jats:p>","DOI":"10.1038\/s41598-017-11918-2","type":"journal-article","created":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T21:55:30Z","timestamp":1504734930000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Timing for Surgical Stabilization with K-wires after Open Fractures of Proximal and Middle Phalangeal Shaft"],"prefix":"10.1038","volume":"7","author":[{"given":"Yanchun","family":"Gao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiyang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyi","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengyu","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2017,9,12]]},"reference":[{"key":"11918_CR1","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1053\/jhsu.2001.26322","volume":"26","author":"KC Chung","year":"2001","unstructured":"Chung, K. C. & Spilson, S. V. The frequency and epidemiology of hand and forearm fractures in the United States. The Journal of hand surgery \n                           26, 908\u2013915 (2001).","journal-title":"The Journal of hand surgery"},{"key":"11918_CR2","doi-asserted-by":"publisher","first-page":"203","DOI":"10.4103\/0970-0358.85341","volume":"44","author":"JB Kamath","year":"2011","unstructured":"Kamath, J. B., Harshvardhan, D. M. N. & Bansal, A. Current concepts in managing fractures of metacarpal and phalangess. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India \n                           44, 203\u2013211 (2011).","journal-title":"Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India"},{"key":"11918_CR3","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.hcl.2012.05.032","volume":"28","author":"RG Gaston","year":"2012","unstructured":"Gaston, R. G. & Chadderdon, C. Phalangeal fractures: displaced\/nondisplaced. Hand clinics \n                           28, 395\u2013401, x (2012).","journal-title":"Hand clinics"},{"key":"11918_CR4","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1142\/S0218810417720157","volume":"22","author":"H Fujioka","year":"2017","unstructured":"Fujioka, H., Takagi, Y., Tanaka, J. & Yoshiya, S. Corrective Step-cut Osteotomy at the Affected Bone for Correction of Rotational Deformity Due to Fracture of the Middle Phalanx. The journal of hand surgery Asian-Pacific volume \n                           22, 240\u2013243 (2017).","journal-title":"The journal of hand surgery Asian-Pacific volume"},{"key":"11918_CR5","doi-asserted-by":"publisher","first-page":"1517","DOI":"10.1016\/j.jhsa.2014.04.017","volume":"39","author":"AC Dhamangaonkar","year":"2014","unstructured":"Dhamangaonkar, A. C. & Patankar, H. S. Antegrade joint-sparing intramedullary wiring for middle phalanx shaft fractures. The Journal of hand surgery \n                           39, 1517\u20131523 (2014).","journal-title":"The Journal of hand surgery"},{"key":"11918_CR6","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/0266-7681(87)90049-0","volume":"12","author":"DJ Ford","year":"1987","unstructured":"Ford, D. J., el-Hadidi, S., Lunn, P. G. & Burke, F. D. Fractures of the phalanges: results of internal fixation using 1.5\u2009mm and 2\u2009mm A. O. screws. Journal of hand surgery \n                           12, 28\u201333 (1987).","journal-title":"Journal of hand surgery"},{"key":"11918_CR7","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1097\/00005373-199408000-00015","volume":"37","author":"SH Chen","year":"1994","unstructured":"Chen, S. H., Wei, F. C., Chen, H. C., Chuang, C. C. & Noordhoff, S. Miniature plates and screws in acute complex hand injury. 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Report of the Committee on Tendon Injuries (International Federation of Societies for Surgery of the Hand). The Journal of hand surgery \n                           8, 794\u2013798 (1983).","journal-title":"The Journal of hand surgery"},{"key":"11918_CR11","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1097\/00000637-199906000-00006","volume":"42","author":"KC Chung","year":"1999","unstructured":"Chung, K. C., Hamill, J. B., Walters, M. R. & Hayward, R. A. The Michigan Hand Outcomes Questionnaire (MHQ): assessment of responsiveness to clinical change. Annals of plastic surgery \n                           42, 619\u2013622 (1999).","journal-title":"Annals of plastic surgery"},{"key":"11918_CR12","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/0266-7681(87)90076-3","volume":"12","author":"JP Sloan","year":"1987","unstructured":"Sloan, J. P., Dove, A. F., Maheson, M., Cope, A. N. & Welsh, K. R. Antibiotics in open fractures of the distal phalanx? 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