Distal Phalanx Fracture CRPP

   
 
   
   
         
 
   

Distal Phalanx Transverse Fracture
CRPP Technique

 
Displaced Transverse Distal Phalanx Fracture
  • Mini C-arm
  • Digital block
  • Pre-operative antibiotic
  • Sterile prep and drape
 
  • 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.
  • 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.
   
  • 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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