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Distal Phalanx Transverse Fracture
CRPP Technique
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Displaced Transverse Distal Phalanx Fracture
- Mini C-arm
- Digital block
- Pre-operative antibiotic
- Sterile prep and drape
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- 0.045-in K-wire is placed percutaneously into the tip of the finger and advanced into the distal fragment parallel to the dorsal cortex and centrally located in both the A/P and lateral planes.
- K-wire is advanced to the fracture site.
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- Fracture is reduced usually with simple longitudinal traction.
- K-wire can be used as a joystick
- Anatomic reduction is varified in both the A/P and lateral planes.
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- K-wire is advanced into the proximal fragment and seated into the subchondral bone without violating the joint.
- Proximal fractures may require DIP cross fixation for stability.
- Ensure there is no distraction across the fracture site.
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