The range of hand injuries treated in our emergency department in the last year was between 1.5 and 28 % of all injuries. The treatment of phalangeal fractures can be surgical or non-operative depending on the stability of the fracture and the success of the reposition. The purpose of minimally invasive procedures for the operative treatment of phalangeal fractures is mainly to effectively and in a timely manner fix the fracture. On the other hand, these procedures minimize the possibility of developing complications that could occur with open reduction and internal fixation. The resulting stability enables early activation of the patient's injured hand. If it is not possible to treat patients with minimally invasive procedures, we use methods of open reduction and fixation with K-wires or plates. In the period from January 2020 to December 2023, we treated a total of 178 patients. All patients were treated with closed reduction and percutaneous fixation with K-wires or by open reduction and fixation with K-wires, free screws, or plates. Fracture reduction and fixation is routinely checked intraoperatively with a C-arm x-ray machine. The wires were removed 5 weeks after surgery, and the screws and plates were generally not removed. Results were evaluated after 3 and 6 months by measuring the range of motion, grip strength and by using DASH score. Fracture healing occurred in all patients. Complications were mostly related to finger contractures, the inability to form a fist and limited full range of motion, which disturb the patient's quality of life.

Swan neck deformity is characterized by the hyperextension posture in the proximal interphalangeal joint and the flexion in the distal interphalangeal joint. It can be due to many causes that lead to imbalance of the extensor mechanism such as the rupture or unthreatened lesion of the extensor digiti communis, it is seen also in inflammatory diseases such as rheumatoid arthritis, in patient with cerebral palsy and Ehlers-Danlos Syndrome or patients with volar plate laxity. The treatment of swan neck deformity is challenging and what method to use depends on many factors. In this abstract, we will be discussing about different modalities of treatment of swan neck deformity.