TREATMENT OF HAND INJURIES BY EXTERNAL FIXATION

被引：15

作者：

ASHMEAD, D ^{[1
]}

ROTHKOPF, DM ^{[1
]}

WALTON, RL ^{[1
]}

JUPITER, JB ^{[1
]}

机构：

[1] UNIV MASSACHUSETTS,DEPT SURG,DIV PLAST & RECONSTRUCT SURG,WORCESTER,MA 01655

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 05期

关键词：

D O I：

10.1016/0363-5023(92)90477-7

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Thirty-five consecutive applications of external fixation to the hand, including 27 acute cases and 8 reconstructive procedures, were studied. In both settings, external fixation was used not only for skeletal stabilization but also for management of the soft tissues. Twenty of the 22 acute fractures healed, and six arthrodeses with interposition bone grafts resulted in fusion. Three septic nonunions resolved, and two united successfully. There were no complications. We recommend external fixation systems in the hand, and several case reports are included in the study to illustrate the various applications.

引用

页码：956 / 964

页数：9

共 16 条

[1]

Pritsch, Engel, Farin, Manipulation and external fixation of metacarpal fractures, J Bone Joint Surg, 63 A, pp. 1289-1291, (1981)

[2]

Aron, Using methylmethacrylate to make external fixation splints, J Bone Joint Surg, 58 A, (1976)

[3]

Crockett, Rigid fixation of bones of the hand using K-wires bonded with acrylic resin, Hand, 6, pp. 106-107, (1974)

[4]

Dickson, Rigid fixation of unstable metacarpal fractures using transverse K-wires bonded with acrylic resin, Hand, 7, pp. 284-286, (1975)

[5]

Shehadi, External fixation of metacarpal and phalangeal fractures, J Hand Surg, 16 A, pp. 544-550, (1991)

[6]

Rosenberg, Kon, An external fixator in finger reconstruction, J Hand Surg, 11 B, pp. 147-148, (1986)

[7]

Asche, Haas, Klemm, The external mini-fixator: applications and indications in hand surgery, Proceedings of the sixth International Conference on Human External Fixation, pp. 105-110, (1979)

[8]

Bilos, Eskestrand, External fixator use in comminuted gunshot fractures of the proximal phalanx, J Hand Surg, 4, pp. 357-359, (1979)

[9]

Peimer, Smith, Leffert, Distraction-fixation in the primary treatment of metacarpal bone loss, J Hand Surg, 6, pp. 111-124, (1981)

[10]

Riggs, Cooney, External fixation of complex hand and wrist fractures, The Journal of Trauma: Injury, Infection, and Critical Care, 2, pp. 332-336, (1983)

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