Treatment of Open Distal Phalanx Fractures by Syringe Needle Internal Fixation Combined with Splint External Fixation

Abstract

Objective: To investigate the effect of syringe needle internal fixation combined with splint exter-nal fixation in the treatment of open distal phalanx fractures. Methods: From January 2016 to December 2021, 15 patients (13 males, 2 females; mean age 25.3 years) with open distal phalanx fractures treated by syringe needle internal fixation combined with splint external fixation were retrospectively analyzed. All patients followed a routine protocol, including progressive exercise and regular check-ups. The recovery of finger function and fracture healing time were analyzed. Results: The mean time to fracture healing was (8.41 ± 1.93) weeks, and there were no serious soft tissue infection, osteomyelitis, fracture nonunion, and other complications. Six months after surgery, functional outcomes were excellent in 11, good in 3. The excellent and good rate in functional results was 93.33%. Conclusion: Syringe needle internal fixation combined with splint external fixation is a simple and effective method for the treatment of open distal phalanx fractures. It could be used in various theatres of operations and other poor conditions.