Utilidad de los tornillos canulados en fracturas de falange distal: experiencia en un centro de cirugía de mano.

Background and objective. Most of the activities of daily life are carried out with our hands; hand fractures represent 10% of all skeletal injuries and are caused by high energy trauma. The main complication is the stiffness of the hand, and an ideal treatment must produce an adequate reduction, limit pain, minimize scarring and start mobility as soon as possible. Methods. A retrospective review of 10 patients operated on for a distal phalanx fracture between January and June 2023 was carried out through the application of 2.4 and 1.7 mm cannulated screws for transverse and oblique strokes, respectively. Results. Patients presented an adequate reduction, minimal pain and began rehabilitation between 10 and 14 days after surgery; did not present complications and had adequate mobility at the end of rehabilitation. Conclusion. In our experience, management with cannulated screws of the distal phalanx fractures has shown an adequate reduction, requires little surgical time, is placed percutaneously, and favors early mobility, preventing the appearance of rigidity. [ABSTRACT FROM AUTHOR]