The digital external fixator, new equipment (24 cases report)

Chirurgie de la main
R ChafikT Fikry

Abstract

Phalangeal fractures and osteoarticular infections can be challenging injuries to manage, and their treatment is frequently complicated by deformity and stiffness. External fixation techniques have a well-established role in the treatment of these injuries. The mini-Hoffman external fixator is a particularly simple apparatus in design and in application. We report a technique of digital external fixator with a new original material developed in the service. It is an inexpensive and simple technique with good stability. The technical procedure is simple, consisting of two joints, Kirchner pins, 4mm diameter screwdrivers and a motor. Between 2001 and 2006, we used this method to treat 24 patients in a prospective study. The mean age was 35 years (range 16 to 68 years) with a male predominance, left hand predominance (14 cases), and carpenter's hand was the most frequent indication (11 cases). Mean duration of follow-up was two years (6 months to 5 years). Functional results were excellent in 12 cases and bad in six cases. Complications included a case of ischemic necrosis of the finger, two cases of secondary displacement, three cases of sepsis, two cases of algodystrophy and a case of pseudoarthrosis.

References

Sep 11, 1992·The Journal of Hand Surgery·D AshmeadJ B Jupiter
Jan 1, 1991·Journal of Orthopaedic Trauma·Frédéric SchuindFranz Burny
Feb 1, 1980·The Hand·M M Scott, P J Mulligan
Apr 18, 1998·The Journal of Bone and Joint Surgery. British Volume·D J Drenth, H J Klasen
Apr 3, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M C Hynes, G E Giddins
Jul 18, 2006·Hand Clinics·Renata De KeselFrédéric Schuind

Citations

Apr 25, 2014·Techniques in Hand & Upper Extremity Surgery·Timothy P CrowleySahan V Rannan-Eliya

Related Concepts

Finger Injuries
Fracture Fixation
Prosthesis Design
Passive Range of Motion Function
External Fixation Devices
Fracture
Complication
Fingers
Hand
Joints

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