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[External fixation in reconstructive hand surgery]

I Matev1

  • 1Universitätskrankenhaus für Orthopädie, Sofia.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|November 1, 1994
PubMed
Summary

External fixators are revolutionizing hand reconstructive surgery, aiding in thumb and finger reconstruction and accelerating healing for various hand conditions. Further research is needed to improve these devices and bone healing.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Biomedical Engineering

Background:

  • External fixators have emerged as a significant treatment in hand reconstructive surgery over the past 20 years.
  • These devices are utilized as both distraction and compression mechanisms.
  • Current applications include reconstruction of digits, treatment of non-unions, post-traumatic deformities, chronic osteomyelitis, and post-arthrodesis healing.

Purpose of the Study:

  • To review the established role of external fixators in hand surgery.
  • To identify areas for future research and development in external fixation technology for the hand.

Main Methods:

  • Review of established clinical applications of external fixators in hand surgery.
  • Identification of key challenges and future research directions.

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Main Results:

  • External fixators, used for distraction, enable thumb and finger reconstruction.
  • As compression devices, they accelerate healing in conditions like pseudarthrosis, deformities, and osteomyelitis.
  • No universal external fixator exists; specialized devices are required for different hand segments.

Conclusions:

  • External fixators are versatile tools in hand reconstructive surgery.
  • Further studies should focus on improving external fixator design and enhancing callus formation for distraction-based treatments.