Double X Configuration Screw Fixation for Middle Phalanx Fracture - A Case Report.

INTRODUCTION

Techniques for treating phalangeal fractures are evolving. Intramedullary screws are a trendy surgical choice that leads to optimal results. Metacarpals and proximal phalanges could tolerate two screws. We want to demonstrate that middle phalanx fractures could also be treated with double-cannulated screws.

CASE REPORT

A 19-year-old patient with a middle phalanx fracture of the 4th left digit was treated with Kirschner wires leading eventually to malunion. We revised the fracture with a redo, recreating the fracture and introducing retrograde crossed-cannulated screws with excellent stability that allowed an immediate range of motion. The patient achieved union with full grip and range of motion.

CONCLUSION

Middle phalanx fractures could be treated with two screws in a crossed configuration achieving stable fixation and obviating the proximal interphalangeal joint.