Treatment of pseudoarthrosis of the distal phalanx with the palmar midline approach.

Six patients with pseudoarthrosis of the waist of the distal phalanx were operated on with the palmar midline approach. Of these, four patients had sustained injuries of the crush type. The period between the initial injury and this surgery ranged from 2 to 10 months, averaging 4.2 months. With a midline straight incision on the pulp, bone grafting was followed by cross-pinning with Kirschner wires. All six cases obtained bony union within 6 to 11 weeks postoperatively. The operative scar was scarcely detectable and caused no problem.