Dynamic external fixation for complex intraarticular phalangeal fractures

被引：31

作者：

Johnson, D ^{[1
]}

Tiernan, E ^{[1
]}

Richards, AM ^{[1
]}

Cole, RP ^{[1
]}

机构：

[1] Salisbury Dist Hosp, Dept Plast & Reconstruct Surg, Salisbury SP2 8BJ, Wilts, England

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 2004年 / 29B卷 / 01期

关键词：

dynamic; external fixation; phalangeal fractures;

D O I：

10.1016/j.jhsb.2003.08.009

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：

Intraarticular phalangeal fractures are difficult to treat. The advantages of using dynamic external fixation devices include distraction of impacted fracture fragments and reduction in joint stiffness by allowing early joint mobilization. Previous reports have concentrated on pilon fractures and dorsal fracture dislocations affecting the proximal interphalangeal joint. We report our experience using a dynamic external spring fixator in the management of 15 patients with a variety of fracture patterns affecting the metacarpophalangeal, proximal interphalangeal and distal interphalangeal joints. In three cases the device spanned two adjacent joints. Long-term follow-up has shown excellent range of joint movement and no major complications. We consider that this device is an effective tool in the management of a range on complex intraarticular phalangeal fractures.

引用

页码：76 / 81

页数：6

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