Transverse fracture: more stable, less shortening risk, no periosteal envelope stripping
Extension block splinting:
.for base fracture
.for p2 base, intraarticular involvement < 40 degree
.initial 60 degree flexion, then deduct 10 degree/ week
.maintain congruent reduction
Condylar fx of the head
.close: 2 k-wire, 1 transverse, 1 oblique
.open: consider lag screw
Unstable shaft fracture
.1.2 mm K-wire
.cross pinning at fracture site: highly unstable
.interfragmentary lag screw
.mini-plate
Partial articular base fracture
.extension block pinning
Author preferred treatment
.shaft: splinting for stable, crossed pinning for unstable
.dorsal base: extensive block pinning 3 weeks. ORIF with 1.3 mm lag screw for delayed treatment
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