Journal of Musculoskeletal Trauma

Original Article

Use of a Distraction Dynamic External Fixator in the Treatment of Comminuted Middle Phalanx Base Fractures: Sang Woo Kim, Chae Chil Lee, Sang Hun Ko, Il Yeong Hwang, Min Seok Kim, Woo Young Jin; J Korean Fract Soc 2019;32(1):1-5. Published online January 31, 2019; DOI: https://doi.org/10.12671/jkfs.2019.32.1.1

PURPOSE
This paper suggests the use of distraction dynamic external fixators (DDEF) for the treatment of proximal middle phalanx fractures.
MATERIALS AND METHODS
Seven patients, who were diagnosed with comminuted intra-articular fractures at the base of the middle phalanx from February 2014 to November 2016, were enrolled in this study (volar aspect 6 cases, dorsal aspect 1 case). They underwent a closed reduction under a C-arm image intensifier, and DDEF was applied with general anesthesia. Range of motion (ROM) exercise was encouraged after 3 to 5 days postoperatively, and DDEF was removed after 5 weeks. Subluxation, angulation and displacement were evaluated 6 weeks postoperatively.
RESULTS
The patients who were treated with DDEF showed a normal proximal interphalangeal joint ROM (100Â°), and there was no subluxation or displacement on the X-ray film 6 weeks postoperatively. In addition, there were no signs of infection, such as local heat, redness, and pus-like discharge.
CONCLUSION
DDEF helps maintain the reduction and reducing forces through the ligamentotaxis. The joint stiffness is reduced, which it makes early return to daily life easier.

Citations

Citations to this article as recorded by

Treatment of Neglected Proximal Interphalangeal Fracture Dislocation Using a Traction Device: A Case Report
Yongun Cho, Jai Hyung Park, Se-Jin Park, Ingyu Lee, Eugene Kim
Journal of the Korean Fracture Society.2019; 32(4): 222. CrossRef

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Case Report

Distal Clavicle Fracture in Adolescence Mimicking Type IV Acromioclavicular Joint Injury: Tae Woo Park, Sung Do Cho, Chae Chil Lee; J Korean Soc Fract 2003;16(2):299-303. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.299

Abstract PDF: Distal clavicle fracture in children may mimic acromioclavicular joint separation, but have very different prognosis and treatment. We are reporting two cases of distal clavicle fracture in adolescence mimicking type IV acromioclavicular injury. This report demonstrates the importance of shoulder axillary view, computerized tomography as well as physical examination on diagnosis of the distal clavicle fracture in adolescence.

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