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Clinical photograph showing no rotational deformity following external fixator removal
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Downloaded from http://journals.lww.com/techhandsurg by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/03/2020 TECHNIQUE An Alternative Technique for External Fixation of Traumatic Intra-articular Fractures of Proximal and Middle Phalanx Benjamin Kapur, MBChB, Jayanath Paniker, FRCS Tr&Ortho, MBBS, and John Casaletto, FRCS Tr&Ortho reduction, internal fixation with plates and screws or screw Background: Intra-articular fractures of the proximal interphalangeal 3 4 fixation alone, and external fixation. (PIP) joint are commonly treated with dynamic external fixation. Most A traction device that can maintain satisfactory alignment commonly used is the Suzuki modification of the pins and rubber of the fracture and reduction of the congruous joint, while traction system (PRTS). There are a few other modifications of the allowing early active mobilization, would seem to be an ideal PRTS external fixators. We present an alternative pin external fixator goal in most cases of fracture dislocation of the proximal that is simple and effective. interphalangeal (PIP) joint. Methods: Under a suitable anesthesia and image intensification a true External fixation and closed reduction with liga- lateral view of the head of the proximal phalanx is obtained. A K-wire mentotaxis is advantageous in complex intra-articular fractures construct holds the affected digit out to length with the fracture as they allow preservation
Techniques in Hand & Upper Extremity Surgery – Wolters Kluwer Health
Published: Dec 1, 2015
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