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Related Experiment Videos

Static external fixation of the wrist

R Hertel1, R P Jakob

  • 1Department of Orthopedic Surgery, University of Berne, Inselspital Berne, Switzerland.

Hand Clinics
|November 1, 1993
PubMed
Summary

External fixation of the wrist is an effective treatment method. Recommended techniques include indirect reduction using overdistraction and flexion, with epiphysis stabilization to prevent complications.

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Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Skeletal fixation

Background:

  • External fixation of the wrist has evolved significantly over time.
  • Understanding its historical development is crucial for current practice.
  • Indications, techniques, and rehabilitation protocols have been refined.

Purpose of the Study:

  • To review the historical evolution of external fixation for wrist injuries.
  • To discuss current concepts, indications, and application methods.
  • To evaluate reduction techniques, rehabilitation, and potential complications.

Main Methods:

  • Literature review of historical and current practices in wrist external fixation.
  • Analysis of indirect reduction techniques, including overdistraction and flexion.
  • Discussion of adjunctive stabilization methods, such as epiphysis stabilization.

Main Results:

  • Indirect reduction techniques, particularly overdistraction and flexion, are favored.
  • Epiphysis stabilization effectively mitigates complications associated with overdistraction.
  • External fixation, when meticulously applied, offers efficient wrist fracture treatment.

Conclusions:

  • External fixation of the wrist remains a valuable and efficient treatment modality.
  • Careful attention to detail in application and technique is paramount for success.
  • Modern approaches enhance safety and efficacy, minimizing patient complications.

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