Une nouvelle technique d’embrochage intrafocal des fractures de cols de phalanges chez l’enfant

Londner, J.; Salazard, B.; Samson, P.; Legré, R.

doi:10.1016/j.main.2008.01.002

Cited by 13 publications

(3 citation statements)

References 15 publications

(34 reference statements)

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“…There are multiple pin configurations described for proximal phalangeal neck fractures as well, on the basis of fracture pattern. 10,11,[15][16][17][18][19] Similarly described axial pinning techniques proposed by Karl et al 10 and Paksima et al 11 demonstrate the feasibility of axial pinning in obtain maintenance of reduction, but do not report data on patient outcomes. Our innovative technique for a single-axial K-wire placed from the tip of the distal phalanx does not require the joint manipulation necessary in previously described axial pinning techniques, which simplifies the technique, and shortens the surgical duration.…”

Section: Discussionmentioning

confidence: 99%

“…A classification system for phalangeal neck fractures was proposed by Al-Qattan in 2001,13 with type I fractures being nondisplaced, type II fractures having partial displacement, and type III fractures being completely displaced. There are multiple pin configurations described for proximal phalangeal neck fractures as well, on the basis of fracture pattern 10,11,15–19. Similarly described axial pinning techniques proposed by Karl et al10 and Paksima et al11 demonstrate the feasibility of axial pinning in obtain maintenance of reduction, but do not report data on patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous Fixation of Pediatric Fractures of the Proximal Phalanx Neck: A Novel Technique

Pientka

Cheng

2020

Techniques in Hand &Amp; Upper Extremity Surgery

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Introduction: Proximal phalanx neck fractures occur almost exclusively in children. Fractures of the proximal phalanx neck can be difficult to treat nonoperatively given the anatomic location and associated extrinsic forces. A divergent or crossed pin configuration is often utilized for the stabilization of these fractures.Purpose: We present a surgical technique with a single Kirschner (K-wire) placed axially along the affected finger, with a hyperextension reduction maneuver, to reduce and fixate proximal phalanx neck fractures in children and adolescents.Methods: We performed a retrospective review of all pediatric proximal phalanx neck fractures treated by a single surgeon. Demographic data, as well as clinical and radiographic outcomes were recorded. We then directly compared axial pinning [14 patients; average age 6.63 y (9 mo to 17 y)] with nonoperative treatment [28 patients; average age 8.03 y (9 mo to 16 y)], and open treatment [8 patients; average age 8.13 y (1 to 14 y)].Results: Patients who underwent closed reduction and axial pinning had significantly improved final coronal alignment compared with nonoperative treatment. Compared with fractures which required open reduction, closed reduction with axial pinning resulted in significantly shorter surgical duration and time to radiographic healing. The final range of motion showed no difference between intervention types, as all patients regained full range of motion. Conclusions:We find this axial pinning technique to be simpler and faster than divergent pin fixation, with no significant differences in time to radiographic healing, time to full activity, final proximal interphalangeal active flexion or extension, loss of reduction, or radiographic parameters.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percutaneous Fixation of Pediatric Fractures of the Proximal Phalanx Neck: A Novel Technique

Pientka

Cheng

2020

Techniques in Hand &Amp; Upper Extremity Surgery

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“…The principle is similar to the one described by Londner et al [3] since a pin is introduced percutaneously into the medullary canal of one of the fragments directly from the fracture site without fluoroscopic control. This point is made easier when using external manipulations to open the fracture site laterally.…”

Section: Surgical Techniquementioning

confidence: 99%