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Functional Outcomes Following Pilon Fractures of the Middle Phalanx Managed with the Ligamentotaxor External Fixator

Toby Colegate-Stone¹, Kebba Marenah¹, John Compson¹

¹1 Department of Orthopaedic & Trauma Surgery, Kings College Hospital, London, UK.

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand

|June 9, 2015

Abstract

Background:

The surgical aims in managing displaced intra-articular fractures of the base of the middle phalanx include early joint reduction, maintaining congruence and early mobilization. Achieving this can be a challenge. However dynamic external fixators offer a solution. The study aim was to evaluate the use and outcomes of the Ligamentotaxor external fixator in patients with such injuries.

Methods:

A total of 12 patients were managed with this device and outcomes were assessed. All patients reached clinical and radiological union.

Results:

An average range of movement to the proximal interphalangeal joint of 63° was noted along with an average end of care-cycle quick-DASH score of 9.1. Two patients developed pin-site infections.

Conclusions:

The outcomes seen support the use of the Ligamentotaxor in the management of middle phalanx intra-articular fractures. It is simple to apply, potentially avoids the secondary complications of open reduction and gives reproducible results. However judicious patient selection is advised.

Keywords:

Fracture Intra-articular Ligamentotaxor Proximal interphalangeal joint

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