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Plaster is needed
Hi I have a minor fracture in baby finger does plaster is required?
Or can be treated with the crepe band etc apart from plaster. Attached is the X-ray please answer thankyou.
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It’s better to go with CRIF with K wire and mobilise fast
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If reduces well with traction and plaster, can go ahead with the same.
Function will be restored after adequate rehab anyway. Worst scenario could be some residual deformity,stiffness and shortening
Next Steps
Get a cockup or ulnar gutter slab after closed reduction. if reduction acceptable on xray , can let it be
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CR with k wire is another alternative if you are okay with surgery and it's expenses
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If you can accept minimum deformity then u can go ahead with CR and plaster with guarded prognosis.
Fracture is angulated needs correction, Better go for small surgery K WIRE FIXATION
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Minimally invasive surgery with k wire stabilization and early mobilisation
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Plaster (Cock up slab) is bare minimum.I would rather prefer CR with k wire and start early mobilisation
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Crif with K wire and immobilize in cock up cast
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Fracture needs to be set right followed by cockup splint.
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Plaster required
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Fracture is displaced
So need to fix with k wire by. surgery)
If u apply crepe bandage or plaster
Fracture will malunited ( heal in abnormal position)
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1. CLOSED REDUCTION UNDER C-arm . Pop cast
2. Closed reduction with k wire fixation
3. Open reduction and fixation with mini plate or k wire
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Dr. Vilas P Chavan
Orthopedic surgeon
9 yrs exp
Pune
Apart from plaster Need Surgery, CR K Wire for better healing and Alignment
Next Steps
Use Cockup splint
Ice Compression
Limb Elevation
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Dr. Pravin Deshmukh
Orthopedic Surgeon
27 yrs exp
Pune
Cockup slab 3/4 wks
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