{"id":"https://openalex.org/W7204801656","doi":"https://doi.org/10.1177/15589447261478333","title":"Clinical Outcomes and Complications of Intramedullary Proximal Phalanx Fixation","display_name":"Clinical Outcomes and Complications of Intramedullary Proximal Phalanx Fixation","publication_year":2026,"publication_date":"2026-08-30","ids":{"openalex":"https://openalex.org/W7204801656","doi":"https://doi.org/10.1177/15589447261478333","pmid":"https://pubmed.ncbi.nlm.nih.gov/42669960"},"language":"en","primary_location":{"id":"doi:10.1177/15589447261478333","doi":"https://doi.org/10.1177/15589447261478333","is_oa":true,"landing_page_url":"https://doi.org/10.1177/15589447261478333","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/15589447261478333?download=true","source":{"id":"https://openalex.org/S49025288","display_name":"Hand","issn_l":"1558-9447","issn":["1558-9447","1558-9455"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HAND","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/15589447261478333?download=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119924916","display_name":"Emma Roccaforte","orcid":"https://orcid.org/0009-0008-6655-5654","observed_orcids":["https://orcid.org/0009-0008-6655-5654"]},"institutions":[{"id":"https://openalex.org/I165139151","display_name":"University of North Texas Health Science Center","ror":"https://ror.org/05msxaq47","country_code":"US","type":"education","lineage":["https://openalex.org/I165139151"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emma Roccaforte","raw_affiliation_strings":["University of North Texas Health Science Center, Fort Worth, USA"],"raw_orcid":"https://orcid.org/0009-0008-6655-5654","affiliations":[{"raw_affiliation_string":"University of North Texas Health Science Center, Fort Worth, USA","institution_ids":["https://openalex.org/I165139151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135721648","display_name":"Justin Choy","orcid":"https://orcid.org/0009-0007-4401-3857","observed_orcids":["https://orcid.org/0009-0007-4401-3857"]},"institutions":[{"id":"https://openalex.org/I128956969","display_name":"Texas Christian University","ror":"https://ror.org/054b0b564","country_code":"US","type":"education","lineage":["https://openalex.org/I128956969"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Justin Choy","raw_affiliation_strings":["Burnett School of Medicine at Texas Christian University, Fort Worth, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Burnett School of Medicine at Texas Christian University, Fort Worth, USA","institution_ids":["https://openalex.org/I128956969"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117618535","display_name":"Winston Scambler","orcid":"https://orcid.org/0009-0008-5768-7962","observed_orcids":["https://orcid.org/0009-0008-5768-7962"]},"institutions":[{"id":"https://openalex.org/I128956969","display_name":"Texas Christian University","ror":"https://ror.org/054b0b564","country_code":"US","type":"education","lineage":["https://openalex.org/I128956969"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Winston Scambler","raw_affiliation_strings":["Burnett School of Medicine at Texas Christian University, Fort Worth, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Burnett School of Medicine at Texas Christian University, Fort Worth, USA","institution_ids":["https://openalex.org/I128956969"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094582880","display_name":"Matt Kannenberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802662748","display_name":"JPS Health Network","ror":"https://ror.org/02nkp4593","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802662748"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew Kannenberg","raw_affiliation_strings":["JPS Health Network Department of Orthopaedic Surgery, Fort Worth, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"JPS Health Network Department of Orthopaedic Surgery, Fort Worth, TX, USA","institution_ids":["https://openalex.org/I2802662748"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024294075","display_name":"William F. Pientka","orcid":"https://orcid.org/0000-0002-4202-9798","observed_orcids":["https://orcid.org/0000-0002-4202-9798"]},"institutions":[{"id":"https://openalex.org/I128956969","display_name":"Texas Christian University","ror":"https://ror.org/054b0b564","country_code":"US","type":"education","lineage":["https://openalex.org/I128956969"]},{"id":"https://openalex.org/I2802662748","display_name":"JPS Health Network","ror":"https://ror.org/02nkp4593","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802662748"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"William F. Pientka","raw_affiliation_strings":["Burnett School of Medicine at Texas Christian University, Fort Worth, USA","JPS Health Network Department of Orthopaedic Surgery, Fort Worth, TX, USA"],"raw_orcid":"https://orcid.org/0000-0002-4202-9798","affiliations":[{"raw_affiliation_string":"Burnett School of Medicine at Texas Christian University, Fort Worth, USA","institution_ids":["https://openalex.org/I128956969"]},{"raw_affiliation_string":"JPS Health Network Department of Orthopaedic Surgery, Fort Worth, TX, USA","institution_ids":["https://openalex.org/I2802662748"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5024294075"],"corresponding_institution_ids":["https://openalex.org/I128956969","https://openalex.org/I2802662748"],"apc_list":{"value":3900,"currency":"USD","value_usd":3900},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.73927577,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"15589447261478333","last_page":"15589447261478333"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0066999997943639755,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/proximal-phalanx-fractures","display_name":"proximal phalanx fractures","score":0.9449999928474426},{"id":"https://openalex.org/keywords/intramedullary-fixation","display_name":"intramedullary fixation","score":0.9539999961853027},{"id":"https://openalex.org/keywords/headless-screws","display_name":"headless screws","score":0.8069999814033508},{"id":"https://openalex.org/keywords/hand-injuries","display_name":"hand injuries","score":0.5879999995231628},{"id":"https://openalex.org/keywords/fracture-union","display_name":"fracture union","score":0.7229999899864197},{"id":"https://openalex.org/keywords/postoperative-stiffness","display_name":"postoperative stiffness","score":0.8999999761581421},{"id":"https://openalex.org/keywords/tenolysis","display_name":"tenolysis","score":0.7630000114440918},{"id":"https://openalex.org/keywords/implant-removal","display_name":"implant removal","score":0.7329999804496765},{"id":"https://openalex.org/keywords/periprosthetic-fracture","display_name":"periprosthetic fracture","score":0.9760000109672546},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.5699999928474426},{"id":"https://openalex.org/keywords/range-of-motion","display_name":"range of motion","score":0.5929999947547913},{"id":"https://openalex.org/keywords/hand-therapy","display_name":"hand therapy","score":0.6230000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9419000148773193},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.9265999794006348},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7092999815940857},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.6919999718666077},{"id":"https://openalex.org/C2778120723","wikidata":"https://www.wikidata.org/wiki/Q16872681","display_name":"Periprosthetic","level":3,"score":0.6216999888420105},{"id":"https://openalex.org/C60465272","wikidata":"https://www.wikidata.org/wiki/Q494478","display_name":"Range of motion","level":2,"score":0.597599983215332},{"id":"https://openalex.org/C13483470","wikidata":"https://www.wikidata.org/wiki/Q1470152","display_name":"Coronal plane","level":2,"score":0.45010000467300415},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.40560001134872437},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.4009000062942505},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.3781000077724457},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.34450000524520874},{"id":"https://openalex.org/C2909959974","wikidata":"https://www.wikidata.org/wiki/Q1057892","display_name":"Proximal phalanx","level":2,"score":0.32089999318122864},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.3206000030040741},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.303600013256073},{"id":"https://openalex.org/C175696284","wikidata":"https://www.wikidata.org/wiki/Q986524","display_name":"Cadaveric spasm","level":2,"score":0.3003000020980835},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.29010000824928284},{"id":"https://openalex.org/C139542699","wikidata":"https://www.wikidata.org/wiki/Q180335","display_name":"Phalanx","level":2,"score":0.28839999437332153},{"id":"https://openalex.org/C2910444862","wikidata":"https://www.wikidata.org/wiki/Q2141048","display_name":"Bony union","level":3,"score":0.2872999906539917},{"id":"https://openalex.org/C2776813713","wikidata":"https://www.wikidata.org/wiki/Q920565","display_name":"External fixation","level":3,"score":0.2825999855995178},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2702000141143799}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1177/15589447261478333","doi":"https://doi.org/10.1177/15589447261478333","is_oa":true,"landing_page_url":"https://doi.org/10.1177/15589447261478333","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/15589447261478333?download=true","source":{"id":"https://openalex.org/S49025288","display_name":"Hand","issn_l":"1558-9447","issn":["1558-9447","1558-9455"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HAND","raw_type":"journal-article"},{"id":"pmid:42669960","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42669960","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hand (New York, N.Y.)","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13530032","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42669960/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Hand (N Y)","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1177/15589447261478333","doi":"https://doi.org/10.1177/15589447261478333","is_oa":true,"landing_page_url":"https://doi.org/10.1177/15589447261478333","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/15589447261478333?download=true","source":{"id":"https://openalex.org/S49025288","display_name":"Hand","issn_l":"1558-9447","issn":["1558-9447","1558-9455"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HAND","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204801656.pdf","grobid_xml":"https://content.openalex.org/works/W7204801656.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W2053216098","https://openalex.org/W2262290957","https://openalex.org/W2623726285","https://openalex.org/W2939765829","https://openalex.org/W2977940072","https://openalex.org/W2982187238","https://openalex.org/W2994755221","https://openalex.org/W3030797033","https://openalex.org/W3033840147","https://openalex.org/W3090858906","https://openalex.org/W3118790049","https://openalex.org/W3130494301","https://openalex.org/W3154146745","https://openalex.org/W4200275086","https://openalex.org/W4282557983","https://openalex.org/W4292616348","https://openalex.org/W4319063009","https://openalex.org/W4378347546","https://openalex.org/W4386700664","https://openalex.org/W4389572694","https://openalex.org/W4390736427","https://openalex.org/W4391440414","https://openalex.org/W4391922210","https://openalex.org/W4392884926","https://openalex.org/W4393390542","https://openalex.org/W4401405707","https://openalex.org/W4406070817","https://openalex.org/W4408133433","https://openalex.org/W4409380786","https://openalex.org/W4411973606","https://openalex.org/W4412519473"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Proximal":[1],"phalanx":[2,72],"fractures":[3,114],"are":[4],"common":[5],"hand":[6,192],"injuries":[7],"that":[8],"can":[9],"result":[10],"in":[11,191,200,204,209,215],"significant":[12],"functional":[13,53,232],"impairment":[14],"if":[15],"inadequately":[16],"treated.":[17],"While":[18],"multiple":[19],"fixation":[20,31,56,74,220],"strategies":[21],"exist,":[22],"the":[23,76,222,235,242],"optimal":[24],"approach":[25],"remains":[26],"debated.":[27],"Intramedullary":[28,219],"headless":[29],"screw":[30],"has":[32],"gained":[33],"interest":[34],"due":[35],"to":[36,43,92,95],"its":[37],"minimally":[38],"invasive":[39],"nature":[40],"and":[41,52,104,136,146,161,177,185,212,229,247],"ability":[42],"allow":[44],"early":[45,231],"mobilization.":[46],"This":[47],"study":[48],"evaluates":[49],"clinical,":[50],"radiographic,":[51],"outcomes":[54],"following":[55],"with":[57,75,109,117,221],"a":[58,81,110,118,156,170],"single":[59,82],"intramedullary":[60],"device.":[61],"METHODS:":[62],"A":[63],"retrospective":[64],"review":[65],"was":[66,143,164],"performed":[67],"of":[68,98,112,121,158,173,181,238],"patients":[69,108,189],"undergoing":[70],"proximal":[71],"fracture":[73,214],"ExsoMed":[77,223],"InFrame":[78,224],"nail":[79],"at":[80,155,166],"center.":[83],"Data":[84],"collected":[85],"included":[86,198],"demographics,":[87],"operative":[88,141],"time,":[89],"alignment,":[90],"time":[91,142],"union,":[93],"return":[94],"activity,":[96],"range":[97],"motion,":[99],"therapy":[100,193],"participation,":[101],"follow-up":[102,172],"duration,":[103],"complications.":[105],"RESULTS:":[106],"Fifty-one":[107],"total":[111,179],"57":[113],"were":[115],"included,":[116],"mean":[119,157,171],"age":[120],"44.3":[122],"years":[123],"(range,":[124],"17-76).":[125],"Fractures":[126],"involved":[127],"1":[128,210,216],"thumb,":[129],"15":[130,134],"index,":[131],"8":[132],"middle,":[133],"ring,":[135],"18":[137],"small":[138],"fingers.":[139],"Mean":[140],"71.7":[144],"minutes,":[145],"final":[147],"coronal":[148],"alignment":[149],"averaged":[150,183],"3.56\u00b0.":[151],"Radiographic":[152],"union":[153,228],"occurred":[154],"5.0":[159],"weeks,":[160,175],"unrestricted":[162],"activity":[163],"achieved":[165],"8.2":[167],"weeks.":[168],"At":[169],"10.7":[174],"active":[176],"passive":[178],"arc":[180],"motion":[182],"202.4\u00b0":[184],"213.9\u00b0,":[186],"respectively.":[187],"Seventeen":[188],"participated":[190],"(mean":[194],"5.4":[195],"visits).":[196],"Complications":[197],"stiffness":[199,240],"24":[201],"digits,":[202,206],"tenolysis":[203],"3":[205],"hardware":[207],"removal":[208],"digit,":[211],"periprosthetic":[213],"digit.":[217],"CONCLUSIONS:":[218],"system":[225],"provides":[226],"reliable":[227],"favorable":[230],"outcomes.":[233],"However,":[234],"high":[236],"rate":[237],"postoperative":[239],"highlights":[241],"need":[243],"for":[244],"structured":[245],"rehabilitation":[246],"further":[248],"comparative":[249],"study.":[250]},"counts_by_year":[],"updated_date":"2026-10-05T09:50:58.205359","created_date":"2026-09-01T00:00:00"}