"S" Quattro external fixation for complex intra-articular thumb fractures

Journal of Orthopaedic Surgery
A M ByrneE P Kelly

Abstract

To report outcomes in 10 patients who underwent dynamic "S" Quattro external fixation for complex fractures of the base of the thumb. Nine men and one woman aged 18 to 69 (mean, 31) years underwent "S" Quattro external fixation for complex fractures of the base of the thumb. The dominant hand was involved in 8 patients. Three patients had Bennett fractures, 5 had Rolando fractures, one had an open multi-fragmented fracture, and one had a fracture-subluxation. Four of them had had prior (failed) treatment with splints and/or Kirschner wires. The "S" Quattro external fixator was applied for a mean of 4.9 weeks. Patients were followed up in an out-patient setting for a mean of 10.7 months until bone union and removal of the external fixator. Finger flexor function was assessed based on total active movement (TAM). Functional outcomes were assessed using the Disability of Arm, Shoulder and Hand (DASH) questionnaire. No pin-site infection, malunion, or non-union was encountered. Mean loss of TAM was 7.5 degrees. Five patients lost 10 degrees or more, 2 of whom lost 20 degrees (one with an open comminuted fracture and one was elderly). Four patients regained full TAM and 6 attained more than 75% TAM compared to the contralateral thum...Continue Reading

References

Jun 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·N R Fahmy, R A Harvey
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Aug 17, 2001·The Journal of the American Academy of Orthopaedic Surgeons·A D Soyer

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Citations

Mar 17, 2012·The Open Orthopaedics Journal·Dn HaughtonW Khan
Feb 19, 2013·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·Shirzad Houshian, Shan Shan Jing
Mar 7, 2012·Annals of the Royal College of Surgeons of England·D MarslandB Goldie
Aug 4, 2020·Injury·Matthew T Brown, Philippa A Rust

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