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Dynamic external fixation for complex intraarticular phalangeal fractures.
D Johnson1, E Tiernan, A M Richards
1Department of Plastic and Reconstructive Surgery, Salisbury District Hospital, Odstock, Salisbury, Wiltshire SP2 8BJ, UK. davidjohnson_plastic@lycos.co.uk
Journal of Hand Surgery (Edinburgh, Scotland)
|January 22, 2004
Summary
Dynamic external spring fixators effectively manage complex intraarticular phalangeal fractures, including those in the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints. This method allows early mobilization, reducing joint stiffness and improving outcomes.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Traumatology
Background:
- Intraarticular phalangeal fractures present significant treatment challenges.
- Current management strategies often focus on specific joint types, leaving a gap in addressing diverse fracture patterns.
Purpose of the Study:
- To evaluate the efficacy of a dynamic external spring fixator in treating various intraarticular phalangeal fractures.
- To assess the device's ability to facilitate early joint mobilization and reduce stiffness.
Main Methods:
- A cohort of 15 patients with diverse intraarticular phalangeal fractures (metacarpophalangeal, proximal interphalangeal, distal interphalangeal) were treated.
- A dynamic external spring fixator was employed, with some cases spanning adjacent joints.
- Long-term follow-up was conducted to assess joint mobility and complications.
Main Results:
- The dynamic external spring fixator demonstrated effectiveness across a range of phalangeal fracture patterns.
- Patients experienced an excellent range of joint movement post-treatment.
- No major complications were reported in the long-term follow-up.
Conclusions:
- Dynamic external spring fixation is a valuable tool for managing complex intraarticular phalangeal fractures.
- The device's ability to provide distraction and allow early mobilization contributes to favorable patient outcomes.