caa a22 4500 60624767X CHVBK 20210128101346.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0968-3 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0968-3 Comparison of Clinical Outcomes of Phalangeal Fracture Treated with Dorsolateral Approach or Post-middle Approach Using AO Mini Titanium Plate [Elektronische Daten] [Guang Li, Shen Liu, Guoting Chen, Zengchun Li, Yangzhou Liu, Guixin Sun, Qingyou Lu, Xia Li, Jun Tan, Ming Guan] The aim of this study is to investigate the clinical outcomes of various fixation methods for proximal phalangeal fractures with Arbeitsgemeinschaft für Osteosynthesefragen (AO) mini titanium plate by dorsolateral approach or post-middle approach. Clinical results of 62 fingers of 53 patients with proximal phalangeal fracture were evaluated. For dorsolateral approach, the lateral bundle of the extensor tendon was drawn away to expose the fracture part of the bone. After reduction, the plate was located at the dorsolateral side of the bone. For post-middle approach, the extensor tendon was split to expose the fracture part of the bone. After reduction, the plate was fixed to the proximal phalangeal side of the bone, and the extensor tendon was repaired with 3-0 nonabsorbable silk sutures. We found low overall complication rates in both groups. The mean total active motion (TAM) for the dorsolateral group and post-middle group was 234.60° ± 22.63° and 221.08° ± 25.69°, respectively. There was a statistical significance between the two groups (P = 0.037 < 0.05), indicating that TAM was notably affected by various fixation methods. With AO mini titanium plate, movement in dorsolateral approach group was significantly higher than in post-middle approach group. Dorsolateral approach is an acceptable technique of incision for proximal phalangeal fractures. Association of Surgeons of India, 2013 AO mini titanium plate nationallicence Proximal phalangeal fractures nationallicence Dorsolateral approach nationallicence Post-middle approach nationallicence Li Guang Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Liu Shen Department of Orthopaedics, Shanghai 6th People's Hospital, Shanghai Jiaotong University, 200233, Shanghai, China aut Chen Guoting Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Li Zengchun Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Liu Yangzhou Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Sun Guixin Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Lu Qingyou Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Li Xia Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Tan Jun Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Guan Ming Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 657-661 0972-2068 77<657 2015 77 12262 https://doi.org/10.1007/s12262-013-0968-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0968-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Li Guang Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Liu Shen Department of Orthopaedics, Shanghai 6th People's Hospital, Shanghai Jiaotong University, 200233, Shanghai, China aut NATIONALLICENCE 700 1- Chen Guoting Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Li Zengchun Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Liu Yangzhou Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Sun Guixin Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Lu Qingyou Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Li Xia Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Tan Jun Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 700 1- Guan Ming Department of Emergency Trauma, Shanghai East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, 200120, Shanghai, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 657-661 0972-2068 77<657 2015 77 12262