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Review
. 2025 May 15;17(4):100282.
doi: 10.1016/j.jham.2025.100282. eCollection 2025 Jul.

Lateral plate fixation for middle phalangeal fractures

Louis Choon Kit Wong  1 , Abby Choke  1 , Sze Ryn Chung  1 , Yong Chiang Kang  1
Affiliations
Review

Lateral plate fixation for middle phalangeal fractures

Louis Choon Kit Wong et al. J Hand Microsurg. .

Abstract

Plate osteosynthesis is a core modality commonly employed for rigid surgical fixation of middle phalangeal fractures. It is conventionally done via a dorsal extensor-splitting approach, which bears the risk of plate irritation and adhesion formation with the extensor apparatus that can lead to significant postoperative stiffness. While utilizing a lateral surgical approach may avoid this issue, literature on it remains scarce within the context of middle phalangeal fractures. Here, we outline our extensor-sparing technique of lateral plate fixation in middle phalangeal fractures. We demonstrate that it is a feasible and safe method for rigid surgical fixation with favorable clinical outcomes.

Keywords: Extensor sparing; Fractures; Lateral approach; Lateral plating; Middle phalanx.

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Conflict of interest statement

None declared.

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