Fractures of the Base of the Middle Phalanx Treated by a Dynamic External Fixation Device

Allison, D. M.

doi:10.1016/s0266-7681(05)80190-1

Cited by 86 publications

(46 citation statements)

References 10 publications

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“…Several techniques of distraction have been described with variable results. These include external fixation devices (Allison, 1996;Hynes and Giddins, 2001) using a force couple splint (Agee, 1987;Buchanan, 1994), dynamic longitudinal traction (Dennys et al, 1992;Morgan et al, 1995;Schenck, 1986), compass hinges (Bain et al, 1998;Krakauer and Stern, 1996), pins and rubber traction systems (DeSoras et al, 1997;Majumder et al, 2003;Suzuki et al, 1994) and dynamic springs (Blazar and Steinberg, 2000;Inanami et al, 1993;Johnson et al, 2004). All existing techniques have their advantages and disadvantages.…”

Section: Introductionmentioning

confidence: 99%

The S-Quattro in the Management of Acute Intraarticular Phalangeal Fractures of the Hand

Khan

Fahmy

2006

Journal of Hand Surgery

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Intraarticular phalangeal fractures of the hand are difficult and challenging to manage. Dynamic external fixation devices offer the advantages of allowing distraction of the impacted fracture and early joint mobilization. We present our study of 100 patients with a variety of fractures who were treated with the S-Quattro technique over a 6-year period, with an average follow-up of 10.5 months. The mean active range of motion regained was 92 degrees for proximal interphalangeal joints (81 fractures), 82 degrees for distal interphalangeal joints (10 fractures), 91 degrees for metacarpophalangeal joints (6 fractures) and 80 degrees for interphalangeal joints of the thumb (3 fractures). Only nine patients complained of mild or moderate pain. Postoperative radiographic appearances were satisfactory in all but five out of the 100 patients. This device is a simple and effective technique for the management of these difficult fractures. It offers advantages in terms of versatility, ease of application, good tolerance by patients, few complications and good outcome.

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Section: Introductionmentioning

confidence: 99%

The S-Quattro in the Management of Acute Intraarticular Phalangeal Fractures of the Hand

Khan

Fahmy

2006

Journal of Hand Surgery

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“…In addition, shortening of the collateral ligaments has likely occurred to some degree, making distraction more difficult. The dynamic distraction external fixation (DDEF) system relies on traction and ligamentotaxis to reduce fracture fragments and maintain a well-aligned reduction [16][17][18][19] . This is much more difficult when fracture fragments are malunited.…”

Section: Discussionmentioning

confidence: 99%

Delayed treatment of unstable proximal interphalangeal joint fracture-dislocations with a dynamic external fixator

Rui

Xue

et al. 2015

Injury

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“…Ligamentotaxor® (AREX,Palaiseau, Fransa) sistemi diğer dinamik eksternal fiksayon sistemleri gibi erken eklem hareketini sağlamakta ve tendon yapışıklıkları ile eklem sertliklerini engellediği gösterilmiştir (2,5,11). Bu sistemin bir diğer avantajı öğrenme eğrisinin kısalığı, kullanım kolaylığı ve ağır olmaması sayılabilir (5).…”

Section: Discussionunclassified

“…Hasarlı parmaktaki eklem hareketini serbest bırakan çeşitli yeni fiksasyon teknikleri kullanıma sunulmuştur. Bu tekniklerle erken rehabilitasyon mümkün olmakta ve daha iyi fonksiyonel sonuçlar alınabil-mektedir (1)(2)(3)(4). Bu yazıda replantasyon ve ayaktan ele parmak nakil olgularında kullandığımız basit ve çok yönlü işlevsel bir parmak tespit yöntemini sunmaktayız.…”

Section: Introductionunclassified

A New Dynamic External Fixation Method in Finger Replantations and Toe-To-Hand Transfers

Yıldız¹,

Kerem²,

Karaaltın³

et al. 2014

Bezmialem Science

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Objective: This study presents a simple and versatile finger fixation method facilitating rehabilitation in the early period and better functional results in replantation and toe-to-hand transfer patients. Methods:In 12 patients, bone fixations were performed by using a dynamic external finger fixator system. The duration of fixations was recorded. The potential complications, such as non-union, pain, joint stiffness, infection of pins, inadequate stabilization, and swelling, were documented. Subjective pain scale was applied on each patient, and the level of satisfaction of patients was examined.Results: All finger transfers and replantations were achieved. The mean time of bone fixation was 11.6 minutes (9 to 20 min.). Nonunion associated with fixation and infection did not occur. Whereas 8 patients were satisfied with the functional results, 3 replantation cases and 1 toe-to-hand transfer patient were dissatisfied. In the assessment of the appearance of the finger, 2 replantation cases and 4 toe-to-hand transfer patients (50% of all cases) were dissatisfied. Conclusion:We are convinced that this dynamic external fixation system, including versatile advantages, such as arranging earlier finger motion, having a simple and quick learning process, reducing the operation time, being able to be used as contributing material in anastomosis, and having fewer complications, can be successfully used in replantations and toe-to-hand transfers.Key Words: Toe-to-hand transfer, replantation, dynamic external fixator, ligamentotaxis ÖZET Amaç: Bu çalışmada replantasyon ve ayaktan ele parmak nakil olgularında rehabilitasyonun erken dönemde yapılmasına ve daha iyi fonksiyonel sonuçlar alınabilmesine olanak sağlayan basit ve çok yönlü işlevsel bir parmak tespit yöntemini sunulmaktadır.Yöntemler: Oniki hastada dinamik eksternal parmak tespit sistemi ile kemik fiksasyonu sağlandı. Kemik tespit süreleri kaydedildi. Ameliyat sonrası kemik tespite ilişkin kaynamama, ağrı, eklem sertlikleri, pin enfeksiyonu, yetersiz stabilizasyon ve şişlik gibi olası komplikasyonlar dokümante edildi. Hastalara subjektif ağrı değer-lendirmeleri uygulandı ve memnuniyet düzeyleri sorgulandı. Bulgular:Tüm parmak nakilleri ve replantasyonları başarı ile gerçekleştirildi. Kemik tespit süresi ortalama 11,6 dakika (dağılım 9-20 dakika) olarak saptandı. Tespite bağlı kırık segmentte kaynamama, enfeksiyon gerçekleşmedi. 8 hasta fonksiyonel sonuçtan memnun iken, 3 replantasyon olgusu ile 1 ayaktan ele parmak nakli olgusu memnuniyetsizlik belirtmiştir. Parmak görünümü için değerlendirmede ise 2 replantasyon olgusu ile 4 ayaktan ele parmak nakli olgusu (olguların %50'si) memnuniyetsizlik bildirmiştir.Sonuç: Dinamik eksternal fiksasyon sistemi parmak hareketlerine erken dönemde olanak sağlaması, kolay ve hızlı öğrenme süreci, ameliyat süresini azaltması, damar anastomozunda yardımcı materyal olarak kullanılabilmesi ve komplikasyonlarının azlığı gibi çok yönlü avantajları nedeniyle replantasyon ve ayaktan ele parmak nakli olgularında başarıyla kullanılabi...

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Fractures of the Base of the Middle Phalanx Treated by a Dynamic External Fixation Device

Cited by 86 publications

References 10 publications

The S-Quattro in the Management of Acute Intraarticular Phalangeal Fractures of the Hand

The S-Quattro in the Management of Acute Intraarticular Phalangeal Fractures of the Hand

Delayed treatment of unstable proximal interphalangeal joint fracture-dislocations with a dynamic external fixator

A New Dynamic External Fixation Method in Finger Replantations and Toe-To-Hand Transfers

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