Full Length Article| Volume 35, ISSUE 4, P537-540, October 2022

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A traction orthosis for the treatment of proximal phalangeal fractures

Published:February 24, 2021DOI:
      Management of proximal phalangeal fractures can prove difficult, with a variety of treatment choices. Nonoperative versus operative options are available and within those categories there are further choices to be made. Traction orthotic devices utilize ligamentotaxis in maintaining fracture and joint reduction, while allowing the fracture to heal and concurrently avoiding surgery on the unforgiving proximal interphalangeal joint and proximal phalanx.
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        Old principles revisited - traction splinting for closed proximal phalangeal fractures.
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      JHT Read for Credit

      Quiz: # 916

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • # 1.
        Proper Fx reduction is determined by
        • a.
        • b.
          the CHT
        • c.
          the surgeon
        • d.
      • # 2.
        The distal edge of the palmar platform
        • a.
          is padded for comfort
        • b.
          is 4 inches from its proximal edge
        • c.
          rests at the distal palmar crease
        • d.
          rests at the thenar eminence
      • # 3.
        Ideally the MP is positioned in
        • a.
          90° flexion
        • b.
          60° flexion
        • c.
          30° flexion
        • d.
      • # 4.
        Traction is applied by pulling on the adhesive which is made of
        • a.
          carbon dioxide
        • b.
          zinc oxide
        • c.
          athletic tape
        • d.
      • # 5.
        The orthosis is worn for 3 weeks
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.