External fixator treatment of affected articular surface of metacarpal and phalanx fracture.docVIP

 PAGE \* MERGEFORMAT 5 External fixator treatment of affected articular surface of metacarpal and phalanx fracture [Keywords:] external fixation of metacarpal and phalanx comminuted fracture of articular surface Hand function complex, fine, and it is people living and working in closely related. Small size of hand bones, joints and more muscle and tendon attachment points, multi-functional complex and sophisticated, the smaller shift after the fracture, into a corner will affect the hand function, thus requiring bone in his hand should be to achieve anatomic reduction and fight for patients to restore hand to the best features. In actual operation, the affected articular surface of metacarpal and phalangeal fracture treatment is more difficult. Our hospital from January 2004 to June 2008, the use of external fixation of metacarpal and phalangeal articular surface affected comminuted fracture in 12 cases, by postoperative follow-up, efficacy is very good. Reported as follows. A clinical data 1.1 General Information of this group of 12 cases, including 11 males and 1 female; aged 16 to 42 years of age; mechanical twisting injury in 8 cases, injured after four cases of heavy pressure; five cases of closed fracture, open fracture in 7 cases; metacarpal distal fracture in 3 cases, proximal phalanx fracture in 5 cases, combined metacarpal and proximal phalanx fracture in 4 cases. 1.2 surgical closed reduction and external brace means in 5 cases, the use of manipulative reduction and external fixation and wound in 5 cases, the use of wound reset fracture fixation with Kirschner wire fixation following external fixation in 2 cases; Ⅰ suture the wound in 11 cases, Ⅱ period of free skin valve closed wound in 1 case. 2 Results The group of 12 patients were followed up for up to 6 months, the shortest 6 weeks, an average of 3 months. Intraoperative and postoperative X-ray inspection, fracture reduction and fixation were satisfactory. That is, without a fixed line