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immobilize fractures in a long arm thumb spica cast for 6 weeks followed by 6 weeks in a short arm thumb spica cast. short arm casts show a trend toward higher nonunion rates.9•consider operative treatment with internal fixation (including percutaneous screw fixation) for high demand patients who cannot tolerate 12 weeks of immobilization.•internal fixation is also recommended for proximal pole fractures because of high rates of nonunion and avascular necrosis.
Última actualización: 2021-04-28
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