{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T21:42:19Z","timestamp":1773092539606,"version":"3.50.1"},"reference-count":17,"publisher":"World Scientific Pub Co Pte Ltd","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Background: The rotational malalignment in proximal phalanx fracture is unacceptable. Authors attempted to describe clinical and radiographic outcomes as well as complications after open reduction and internal fixation with screw only or plate for phalangeal fractures accompanied by rotational malalignment.<\/jats:p><jats:p>Methods: Authors conducted a retrospective review of 46 patients who had been treated between Jan. 2010 and Dec. 2016. The average follow-up period was 16.7 months. A total active motion (TAM), Disability of Arm, Shoulder and Hand score (DASH), and tip pinch power between thumb and fractured finger were measured at the final follow-up. Complications were investigated during the follow up. We assessed the amount of rotation by measuring angle between 3rd ray and fractured finger. The measurement was divided into two groups depending on rotation direction, divergent and convergent direction group.<\/jats:p><jats:p>Results: Twenty-eight cases were fixed with mini LCP plate, 12 cases with lag screws, and rest 6 cases with combined. All patients showed solid bony union on radiographs on average follow-up of 68 days (range, 41\u2013157 days). Average TAM of the injured finger was 244 degrees and average DASH score was 4.9 at the last follow-up. Tip pinch power was 3.2 kg, which was not significantly different from that of the contralateral side at 3.4 kg (p = 0.21).<\/jats:p><jats:p>The preexisting rotational angle was significantly adjusted (overall, 11.1\u00b0). Depending on rotation direction, preoperative 21.7\u00b0 to postoperative 12.1\u00b0 in 27 patients of convergent group and preoperative \u22125.0\u00b0 to postoperative 8.3\u00b0 in 19 patients of divergent group were achieved.<\/jats:p><jats:p>Conclusions: The rotation from proximal phalanx fractures could be corrected with anatomic reduction by open reduction. Our results showed that open reduction and rigid internal fixation after physical examination for acute proximal phalanx fractures accompanied by rotational malalignment could achieve good clinical results.<\/jats:p>","DOI":"10.1142\/s2424835520500265","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T07:59:35Z","timestamp":1587455975000},"page":"219-225","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes Following Open Reduction and Internal Fixation in Proximal Phalangeal Fracture with Rotational Malalignment"],"prefix":"10.1142","volume":"25","author":[{"given":"Jun-Ku","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In-Tae","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Woo","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheungsoo","family":"Ha","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Woo-Jin","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soo-Hong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2020,4,20]]},"reference":[{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000004"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2012.4.2.156"},{"issue":"2","key":"p_4","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/S0749-0712(21)00538-2","volume":"2","author":"Green DP","year":"1986","journal-title":"Hand Clin."},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200810000-00004"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2010.01.005"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(90)90068-F"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.09.005"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.02.006"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(98)80157-3"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.83764"},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80023-4"},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-018-2342-4"},{"key":"p_19","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199309001-00020"},{"key":"p_20","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199606000-00007"},{"key":"p_21","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(89)80006-1"},{"issue":"8","key":"p_22","first-page":"39","volume":"11","author":"Strickland J","year":"1982","journal-title":"Orthop Rev."},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90080-M"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835520500265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T22:04:50Z","timestamp":1666389890000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S2424835520500265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,20]]},"references-count":17,"journal-issue":{"issue":"02","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1142\/S2424835520500265"],"URL":"https:\/\/doi.org\/10.1142\/s2424835520500265","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,20]]}}}