Unicondylar phalangeal fracture reduction using a sponge-holding forceps: A safe and effective technique

摘要

Dear Sir, It can be difficult to reduce unicondylar phalangeal fractures during percutaneous pin fixation. Pointed clamps and bone hooks can be used to maintain reduction but persistent toggling at the fracture site often occurs. We present a novel technique to aid fracture reduction in Weiss Type I and II unicondylar phalangeal fractures. Type I fractures involve a short fracture surface oblique to both frontal and sagittal planes. The fracture exits just proximal to the collateral ligament origin. Type II fractures involve a long, oblique fracture line in the sagittal plane. Both patterns are inherently unstable (Weiss and Hastings, 1993). The Rampley sponge-holding forceps is applied to the proximal interphalangeal joint in a controlled manner to effect a sustainable fracture reduction in many cases. We have found it to be a safe and effective technique.