Rigid internal fixation of basilar fractures of the proximal phalanges by cancellous bone grafting only

Ten patients with 13 basilar metaphyseal impaction fractures of the proxima l phalanges of the fingers were treated with "rigid internal fixation" by b one grafting alone. When retrospectively reviewed at a mean follow-up of 32 months, bone healing had occurred without any relevant secondary displacem ent of the fracture fragments. The final ranges of motion were good and ret urn to work was quicker than expected.