EXTERNAL FIXATION OF METACARPAL AND PHALANGAL FRACTURES
Background. In past three years we have used small
external fixator in the treatment of: 18 closed fractures of metacarpal
bones, 15 phalangeal fractures, four dislocated fractures
of MCP and five of PIP joint, ten arthrodesis, five replantations/
revascularisations, two pathological fractures, and in
few post-traumatic infection of bones and joints.
Results. Results were graded as excellent (completely normal
function), very good (15° deficit of total ROM), good (30° deficit
of total ROM; can flex the fingers to the palm), and poor.
Excellent result was obtained in the treatment of all 18 metacarpal
fractures. The final results in the treatment of 12 closed
fragmentated fractures of phalanges were as follows: excellent
3, very good 2, good 2 and five poor results (three patients
in this group have fallen on their hands causing refracture
and reoperation). Three of four fractures of MCP joint and
four of five fractures involving PIP joint have good mobility.
In eight of ten patients arthrodeses are stable and without
pain. In two cases pathological fractures were first stabilized
and than the tumor was evacuated and grafted with minimal
dissection; booth have good results.
Conclusion. Author suggests that, in selected cases, with application
of small external fixator reasonable good results can be
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