Evaluation of funtional outcome of two k wire fixation and early mobilization in proximal phalanx fractures of hand

Purpose: Proximal Phalanx fractures are the most common injuries of hand. Most of them are stable and can be managed conservatively. Fractures with displacement, angulation, rotational deformity and intra articular fractures with joint incongruity need surgical intervention. It has been seen that early mobilization and two k wire fixation brings good functional outcomes thereby we performed this study to evaluate functional outcome of two k wire fixation and early mobilization in proximal phalanx fractures of hand. Methods: A prospective interventional study was performed with a total of 30 patients included in this study who underwent two k wire fixation for proximal phalanx fractures of hand. Patients were followed periodically till 3 months and evaluated for active range of motion by using Belsky’s Criteria. Results: The patients were followed up for three months and assessment was done clinically and radio logically. Clinical assessment was based on Total Active Range of Motion TAM (Fig-1). Out of thirty patients, excellent result was found in seventeen patients, in ten patients results were good using Belsky’s Criteria (Table-1). Wire back out was seen in one patient. Infection at pin tract site occurred in one patient. Joint stiffness was seen in one patient. Conclusion: Two k wire fixation of proximal phalanx fractures of hand is safe, low cost and effective treatment. It facilitates early mobilization and restoration of function with low complication rate.