Journal of Musculoskeletal Trauma

Original Articles

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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Treatment of Intraarticular Fractures of the Distal Radius with Dynamic External Fixator: Myung Ku Kim, Nam Hong Choi, Jun Seop Jahng, Hyoung Kook Ahn; J Korean Soc Fract 1995;8(3):688-695. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.688

Abstract PDF: The treatment of intra articular fractures of distal radius is difRcult and has various problems. Over the past few years, the importance of alignment correction, preservation of normal radial length and reconstruction of congruity of both radiocarpal and radioulna joints have been emphasized. The end redults of closed reduction and rigid fixation with dynamic external flxator include 13 cases(86.6%) with excellent and good results. Roentgenograms of 15 of these patient show accurate alignment of the healed fractures. One patient had a poor functional result although roentgenograms demonstrated good alignment of the healed fractures. The dynamic external fixator is both a useful and convenient method for the reconstruction and treatment of comminuted intraaricular fractures of the distal radius.

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