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[Open intercarpal palmar dislocation fracture with capitate fracture--stabilization by external fixation]
G Germann1, S Grandel, W Perbix
1Klinik für Plastische und Wiederherstellungschirurgie, Handchirurgie, Schwerstverbranntenzentrum, Klinikum Köln-Merheim.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|March 1, 1991
Summary
A novel open carpal dislocation fracture was successfully treated with external fixation, avoiding Kirschner wires. This approach restored excellent hand function without signs of instability.
Area of Science:
- Orthopedic surgery
- Traumatology
- Hand surgery
Background:
- Open carpal dislocation fractures are rare and present unique management challenges.
- Previous treatment strategies for similar injuries are not well-established.
Observation:
- A case of a previously undescribed open carpal dislocation fracture is presented.
- The injury involved extensive trauma to the carpal region.
Findings:
- Successful reduction and stabilization of the carpal dislocation were achieved using external fixation.
- No additional Kirschner wires were required for stabilization.
- The patient demonstrated excellent hand function post-treatment with no residual carpal instability.
Implications:
- External fixation offers a viable alternative for managing complex open carpal dislocation fractures.
- This case highlights a potentially effective, minimally invasive technique for restoring hand function after severe carpal trauma.