Management of Phalangeal Fractures by Syringe External Fixators | ||
| Minia Journal of Medical Research | ||
| Volume 31, Issue 2, April 2020, Pages 102-107 PDF (298.66 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.220845 | ||
| Authors | ||
| Rashed E. Rashed; Amro A. Fouaad; Ahmed M. Hefny | ||
| Department of Orthopedic, Faculty of Medicine, Al-Azhar university hospitals, Al-Azhar University | ||
| Abstract | ||
| Highly comminuted phalangeal fractures with intra-articular extensions are common in developing countries. Traditional external fixation devices for such fractures are not readily available, are expensive and need considerable amount of expertise in its application. Patients and methods: A total of 20 patients with phalangeal fractures were managed by closed reduction and external fixation using simple syringe fixator and follow up was done at the orthopaedic department, Al-Azhar University hospitals over the period from February 2019 to December 2019. K wires and an empty syringe barrels were used. K wire was first passed through the barrel. Then the K wire with the barrel was inserted into the site proximal to the fracture just lateral to the central extensor slip. A second K wire was passed into the site distal to the fracture site while holding the finger in traction and reduction. The patients were recalled after 3 weeks. Results: The mean radiological union time was 5.28 weeks. Mean period of treatment of phalangeal fracture is 10.02 weeks. The mean TAM was 214.25 degrees. TAM was excellent in 12digits (60%), good in 4 digit (20%), fair in 2 digits (10%) and poor in one digit (5%). The functional results after fractures of the middle phalanx (mean TAM is 214.4) had better recovery than those of the proximal phalanx (mean TAM is 213.6). Conclusion: External fixation technique by simple syringe fixator is proved to be an efficient, simple and cheap alternative for hand fractures fixation showing superiority to other techniques. | ||
| Keywords | ||
| Phalangeal Fractures; External Fixators | ||
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