{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T18:02:30Z","timestamp":1783965750141,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T00:00:00Z","timestamp":1617926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long oblique extra-articular proximal phalanx fractures are common orthopedic injuries. When unstable and without substantial comminution, treatment options include closed-reduction percutaneous pinning (CRPP) and open-reduction internal fixation using lag screws (ORIF-screws). The aims of this study are primarily to compare the functional outcomes and complication rates between these techniques and secondarily to assess potential factors affecting outcomes after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients with long oblique extra-articular proximal phalanx fractures treated surgically within a single orthopedic institution from 2010 to 2017 were identified. Outcome measures and complications were assessed at the final follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty patients were included in the study with a mean time to the final follow-up of 41 weeks (range: 12-164 weeks). Thirty-four patients (57%) were treated with CRPP and 26 patients (43%) with ORIF-screws. The mean Disabilities of the Arm, Shoulder, and Hand score across both fixation types was 8 (range: 0-43) and did not differ significantly between the 2 groups. Mean proximal interphalangeal extension at the final follow-up was 9\u00b0 short of full extension after CRPP and 13\u00b0 short of full extension after ORIF-screws. The rates of flexion contracture and extensor lag were 15% and 41% in the CRPP group compared with 12% and 68% in the ORIF-screws group. Reoperation rates and complication rates did not differ significantly between fixation strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acceptable outcomes can be achieved after surgical fixation of long oblique extra-articular proximal phalanx fractures using both CRPP and ORIF-screws. Extensor lag may be more common after ORIF-screws.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447211003185","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T06:25:19Z","timestamp":1617949519000},"page":"48-54","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Outcomes After Surgically Managed Oblique Extra-Articular Proximal Phalanx Fractures: A Comparison of Closed-Reduction Percutaneous Pinning and Open-Reduction Internal Fixation With Lag Screws"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9638-5424","authenticated-orcid":false,"given":"Tyler W.","family":"Henry","sequence":"first","affiliation":[{"name":"Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob E.","family":"Tulipan","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie A.","family":"Kwan","sequence":"additional","affiliation":[{"name":"Rowan University School of Osteopathic Medicine, Stratford, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro K.","family":"Beredjiklian","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1393-2264","authenticated-orcid":false,"given":"Kevin F.","family":"Lutsky","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas L.","family":"Matzon","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,9]]},"reference":[{"issue":"4","key":"e_1_3_2_2_2","first-page":"38","article-title":"Management of phalangeal fractures of hand","volume":"18","author":"Ahmad M","year":"2006","unstructured":"Ahmad M, Hussain SS, Rafiq Z, et al. Management of phalangeal fractures of hand. J Ayub Med Coll Abbottabad. 2006;18(4):38-41.","journal-title":"J Ayub Med Coll Abbottabad"},{"key":"e_1_3_2_3_2","volume-title":"Rockwood and Green\u2019s Fractures in Adults: Two Volumes Plus Integrated Content Website (Rockwood, Green, and Wilkins\u2019 Fractures)","author":"Bucholz RW.","year":"2012","unstructured":"Bucholz RW. Rockwood and Green\u2019s Fractures in Adults: Two Volumes Plus Integrated Content Website (Rockwood, Green, and Wilkins\u2019 Fractures). Philadelphia, PA: Lippincott Williams & Wilkins; 2012."},{"key":"e_1_3_2_4_2","volume-title":"Hand Fractures: Repair, Reconstruction, and Rehabilitation","author":"Freeland AE.","year":"2000","unstructured":"Freeland AE. Hand Fractures: Repair, Reconstruction, and Rehabilitation. 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