[Extra-articular fractures of the proximal phalanx of the middle finger. Treatment concept and results].

The results of 178 extraarticular proximal phalangeal fractures in 154 patients treated in our institution during the last 10 years were reviewed and evaluated clinically and radiologically. Prime goal of treatment was stable fixation of all injured structures to enable immediate functional after treatment. Postoperative follow-up was 12 months. Fracture union and range of motion were assessed. The results after monodigital isolated fractures scored best, showing more compromise in PIP than in MP motion. Mobility decreased with involvement of other, neighbouring rays or other structures in the same finger. Among the concomitant lesions, injuries to the flexor or extensor tendons were of major negative influence. However, in the later stage as well a favourable functional outcome resulted if early functional postoperative treatment could be guaranteed.