Acta Orthopaedica et Traumatologica Turcica

Umbrella handle technique for fixation of FDP avulsion fracture

AOTT 2019; 53: 157-159
DOI: 10.1016/j.aott.2018.11.001
Read: 1056 Downloads: 532 Published: 06 February 2020

We present the treatment course of a 29-year-old male patient with for a Type 3 FDP avulsion (Jersey's finger) of a fifth finger treated with umbrella handle technique. The patient had a volar base fracture of distal phalanx with dorsal subluxation of DIP joint after a fall. Following open reduction of the FDP avulsion fracture and fixation was achieved with a 0.9 mm one edge hooked Kirschner wire under fluoroscopy control. The straight edge of the wire was driven out in a central position in sterile nail matrix just distal to lunula. The wire was removed at the fifth week when the complete union of the fracture was observed. The patient achieved full flexion in DIP joint without an extension lag.

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ISSN 1017-995X EISSN 2589-1294