Der Unfallchirurg
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Phalangeal fractures of the hand are characterized by a great diversity of fracture patterns. Various concepts exist for conservative and surgical treatment. A wide range of appropriate implants are available for internal fixation. ⋯ Protection of soft tissues and especially preservation of tendon sliding have to be weighed against anatomic reduction and absolute stability. Early mobilization with a high degree of patient cooperation is desirable. Treatment of phalangeal fractures always requires consideration of both the injury pattern and the patient's needs in each individual case.