When the base of the middle phalanx--P-2--is fractured via a compression type injury, a "pilon" fracture results. The joint surface typically becomes comminuted, but in most cases the ligaments are in tact, and the joint is stable. If the fragments are of sufficient size to allow fixation with small pins or screws, this technique becomes as option--obviating the use of complex splints as would be used with indirect techniques such as Shenk traction (see article on this page). I will discuss the feasibility and role of this particular option with you during your appointment.

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