Traction Orthosis for Oblique Proximal Phalangeal Fractures

Inclusion Criteria: * Participants aged 18 years and over who are able to provide informed consent and independently comply with the orthosis and exercise regime * A recent oblique proximal phalangeal fracture that is displaced or has the potential to become unstable. The decision for trial of a dynamic traction orthosis must be made by the orthopaedic surgeon * No history of trauma or disease to the affected hand Exclusion Criteria: * A fracture which is more than 10 days from injury * An open wound around the affected digit * A history of allergic reactions to plasters * Eczema or dermatitis to the affected hand * The presence of sensory loss to the affected digit * Ligament or tendon injury that will contra-indicate early mobilisation * Transverse proximal phalanx fractures * A tattoo to the affected hand that may prevent anonymity when producing photographs