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A and B, Comminuted displaced fracture of base of thumb proximal phalanx in young man. C, Exposure of dorsal joint through by splitting the extensor pollicis brevis longitudinally. D, Direct joint inspection permits anatomic reduction. E and F, Fracture fixation with simple Kirschner wires. G and H, Wires capped outside skin for easy removal 4 weeks after surgery.

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