Phalanx CRPP and Phalanx ORIF
Procedure allows a finger fracture to be realigned and stabilized with metal wires (aka “pins”) or internal hardware.
Closed reduction and percutaneous pinning of a finger (phalanx) fracture allows the fracture to be realigned and stabilized with metal wires (aka “pins”). This usually does not require any kind of incision, but there will be small poke holes where the wires were inserted. This is done in an operating room under sterile conditions and with live x-ray which will show your surgeon when the bones have been reduced to anatomic alignment in real time. The patient is generally immobilized for about 4 weeks (depending on the fracture). Once the fracture has healed, the pins are pulled out in the office. Hand therapy is usually a very important part of recovery to regain motion and normal hand function. In some cases, it takes several months for full motion to return.
Open reduction and internal fixation (ORIF) of a phalanx fracture allows the fracture to be stabilized with internal hardware. This surgery is usually reserved for fractures that may be in many pieces, is unstable, and/or very displaced. This involves making an incision over the fracture and putting hardware over the bone to realign the fragments. This hardware is designed to be kept inside and does not need to be removed. The bone will still take 4-6 weeks to heal, but the hardware keeps everything aligned so that the bones heal in anatomic alignment. Although the patient may begin gentle motion earlier after an ORIF (vs. percutaneous pinning), formal hand therapy is still an important part of recovery.
Every Patient Matters
Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.