The effect of early controlled mobilization combined with target focused exercise regime in management of closed reduction K-wire fixation of proximal phalanx fracture.

The phalangeal and metacarpal fractures are common fractures of the upper extremity. The most common complications of proximal phalanx fracture are the extensor lag and stiffness at the proximal interphalangeal joint, which leads to poor outcomes. Poor treatment compliance has also been identified among our patients. The target focused exercise regime with early controlled active mobilization should improve outcomes and treatment compliance among our patients. In this observational study with recruited 13 subjects, subjects age group range from 25 to 55 yrs. Baseline assessment was administrated for all the subjects. At 12 weeks the patient was re-assessed for Total Active Motion (TAM), Total Passive Motion (TPM), pain, grip strength, and Michigan Hand outcome measure. The TAM increase was statistically significant at P ≥ 0.01 within 4th, 6th, 8th, 10th, and 12th week. The TPM increase was statistically significant at P ≥ 0.01 between 8th, 10th, and 12th week. The mean satisfaction score was 91%. The mean extensor lag was 0.42°. The mean grip strength of the affected hand was 90.6% compared to that of the unaffected hand. The early controlled mobilization combined with target focused exercise regime was effective in improving the TAM and treatment compliance.