Conservative management of articular fractures of the proximal phalangeal base

We present a splint system for a protected mobilization program after close d reduction of articular proximal phalangeal base fractures. This therapy c onsists of the periarticular soft tissue and functional anatomy. The soft-t issue around the base of the proximal phalanx leads to a circular stabiliza tion effect. This so called Zancolli Complex (Metacarpophalangeal Retention Apparatus) can be used with the effect of a brace treatment. Treating 31 p atients with articular fractures of the proximal phalanx way we found good functional results within a mean follow up period of 2 years after the acci dent.