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Static external fixation of finger fractures
1Section of Hand Surgery, University of Berne, Switzerland.
Hand Clinics
|November 1, 1993
Summary
External fixation for finger fractures offers a superior alternative to traditional methods in complex cases. Improved designs may expand its use, but controversies in elective fracture care persist.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Fracture Management
Background:
- External fixation for finger fractures presents unique challenges compared to long bone fractures.
- Indications include high-energy trauma and contaminated fractures.
- It serves as an alternative to open reduction and internal fixation.
Purpose of the Study:
- To highlight the distinct applications and advantages of external fixation in finger fractures.
- To compare its efficacy against traditional fixation methods.
- To discuss its role in managing complex comminuted fractures.
Main Methods:
- Review of current literature and clinical practices regarding external fixation of finger fractures.
- Analysis of case studies involving high-energy trauma and comminution.
- Comparison of outcomes with open reduction and internal fixation.
Main Results:
- External fixation is a viable and often superior option for specific finger fracture types, especially those with extensive comminution.
- It provides a valuable alternative to open reduction and internal fixation in severe trauma.
- Current designs show promise, with potential for wider application.
Conclusions:
- External fixation is a key treatment for selected complex finger fractures.
- Further design enhancements are anticipated to broaden its use.
- It does not yet resolve all debates in elective fracture management.