{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T19:26:56Z","timestamp":1794598016970,"version":"4.9.1"},"reference-count":20,"publisher":"SLACK, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p>Fractures of the proximal phalanges of the hands can be treated by many methods. With surgical intervention, a loss in proximal interphalangeal joint movement is common. Using the stabilizing effect of the zancolli complex-metacarpophalangeal retention apparatus and an external device such as a thermoplastic metacarpophalangeal block splint, proximal phalangeal fractures can be stabilized in terms of axis, length, and rotation.<\/jats:p>\n          <jats:p>This study reports the authors\u2019 10-year results managing these fractures with dynamic treatment. All patients with closed fractures of the proximal phalanges admitted to Queen Mary Hospital, Hong Kong, China, between July 2000 and June 2010 were analyzed. Fractures with rotational deformities or displaced intra-articular configurations were excluded. A dynamic splint that kept the metacarpophalangeal joint maximally flexed while allowing free movement of the proximal and distal interphalangeal joints of the injured finger was applied for at least 4 weeks. Results were evaluated using the Belsky classification and grip strength assessment. The results of 97 patients (103 fractures) were analyzed. At a minimum 1-year follow-up, 75% of patients attained excellent or good results. Neither nonunion nor delayed fracture union was noted. The 25% of patients who attained poor results were older than those who attained excellent or good results (average age, 53.1 vs 35.1 years, respectively) and tended to comply poorly with the rehabilitation program. Using the stabilizing effect of the zancolli complex-metacarpophalangeal retention apparatus and a metacarpophalangeal block splint, bone healing and movement recovery can be achieved simultaneously.<\/jats:p>","DOI":"10.3928\/01477447-20130222-25","type":"journal-article","created":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T15:04:09Z","timestamp":1362582249000},"source":"Crossref","is-referenced-by-count":10,"title":["Ten-year Results Using a Dynamic Treatment for Proximal Phalangeal Fractures of the Hands"],"prefix":"10.3928","volume":"36","author":[{"given":"Margaret Woon Man","family":"Fok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wing Yuk","family":"Ip","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris Kwok Keung","family":"Fung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca KitYuk","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shew Ping","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200810000-00004"},{"issue":"1","key":"e_1_3_1_3_2","first-page":"42","article-title":"Treatment of phalangeal and metacarpal fractures: a review","volume":"10","author":"Wong HK","year":"2008","unstructured":"Wong HK, Lam CY, Wong KY, Ip WY, Fung KK. Treatment of phalangeal and metacarpal fractures: a review. Punjab J Orthop. 2008; 10(1):42\u201350.","journal-title":"Punjab J Orthop"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20060501-01"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000214887.31745.c4"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(98)80157-3"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(89)80006-1"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-004-0745-7"},{"issue":"214","key":"e_1_3_1_9_2","first-page":"11","article-title":"Biomechanics of small bone fixation","author":"Jones WW","year":"1987","unstructured":"Jones WW. Biomechanics of small bone fixation. 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Clin Orthop Relat Res. 1987; (214):23\u201330.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/230949900701500218"},{"key":"e_1_3_1_15_2","volume-title":"Structural and Dynamic Bases of Hand Surgery","author":"Zancolli EA","year":"1979","unstructured":"Zancolli EA. Structural and Dynamic Bases of Hand Surgery. 2nd ed. Philadelphia, PA: JB Lippincot; 1979.","edition":"2"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80023-4"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(03)80011-X"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)00222-7"},{"issue":"3","key":"e_1_3_1_19_2","first-page":"726","article-title":"Fractures of the proximal phalanges alignment and immobilization","volume":"18","author":"Jahss SA","year":"1936","unstructured":"Jahss SA. Fractures of the proximal phalanges alignment and immobilization. J Bone Joint Surg Am. 1936; 18(3):726\u2013731.","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/02844310151032673"},{"issue":"8","key":"e_1_3_1_21_2","first-page":"39","article-title":"Phalangeal fractures: factors influencing digital performance","volume":"11","author":"Strickland JW","year":"1982","unstructured":"Strickland JW, Steichen JB, Klienman WB, Hastings H, Flynn N. Phalangeal fractures: factors influencing digital performance. 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