I am 23 years old male and recently encountered a fracture in my palm. The bone connected to my little finger got fractured in angular manner. Shall I go for a POP or a surgery where a wire will be inserted?
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Hi, all dislocations or fracture dislocations should to be put back in joint (reduced) and held in joint until healed. Sometimes the injury will pop back into joint and be stable enough to hold in a plaster cast. If so they need careful supervision with repeat x-rays for 2-3 weeks from injury to make sure they do not slip out again. If the joint is not that stable it will need to be held with 1-3 wires passed through the skin known as k wires. These usually protrude through the skin so they can easily be removed in the outpatient's clinic. Some surgeons will bury the wires under the skin. Only occasionally is open surgery required i. E. A formal cut is made on the back of the hand over the injury. The wires typically remain in place for 4-5 weeks. During this time the fracture and wires will need support in a plaster cast either a full cast or a partial cast. Any fingers or parts of fingers not held by the plaster should be moved to reduce stiffness. Most patients do very well following these injuries. After an immobilization period, rehabilitative exercises should be performed to regain strength and mobility and to minimize chronic pain and stiffness. Thanks.
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