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The P&R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand

Year 2000, Volume: 34 Issue: 2, 157 - 163, 11.09.2006

Osman Rodop Ahmet Kiral Omer Arpacioglu

Abstract

Objectives: To evaluate the results of the P & R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand.
Methods: The P&R traction system was employed in 16 patients with comminuted, displaced, and intraarticular phalanx fractures and in two patients with phalanx fractures near the joint. Intraarticular fractures were in the proximal interphalangeal (PIP) joint in nine cases, and in the distal interphalangeal (DIP) joint in seven cases. Two patients had extraarticular fractures near the joint, being in the proximal phalanx of the thumb. The patients were followed up for a mean period of 10 months (range 5-14 months).
Results: The traction devices were removed after a mean duration of five weeks. No pin tract infections, non-union or malunion complications occurred. Patients with DIP intraarticular fractures achieved full range of motion; those with PIP intraarticular fractures or fractures near the IP joint obtained practically full range of motion. None of the patients complained of pain.
Conclusion: We concluded that the P&R traction system has the advantage of easy application, permitting early active joint motion.

Keywords

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Eldeki eklem içi, deplase, çok parçalı kırıkların tedavisinde P&R (pins and rubber) traksiyon sistemi

Year 2000, Volume: 34 Issue: 2, 157 - 163, 11.09.2006

Osman Rodop Ahmet Kiral Omer Arpacioglu

Abstract

Amaç: Eldeki eklem içi, deplase, çok parçalı kırıkların tedavisinde P&R (pins and rubber ) traksiyon sisteminin uygulama sonuçlarını değerlendirmek.
Çalışma planı: Elde çok parçalı deplase eklem içi falanks kırığı olan 16 olgu ve ekleme yakın falanks kırığı olan iki olgu olmak üzere toplam 18 olgu P&R traksiyon sistemiyle tedavi edildi. Eklem içi kırıklardan dokuzu proksimal interfalangial (PİP), yedisi ise distal interfalangial (DİP) eklemde idi. İki olguda ise eklem dışı, ancak birinci parmak interfalangial (İP) ekleme yakın proksimal falanks kırığı mevcuttu. Hastalar ortalama 10 ay (dağılım 5-14 ay) süreyle izlendi.
Sonuçlar: Hastalarda ortalama beş hafta sonra traksiyona son verildi. Hiçbir hastada pin tract enfeksiyonu, non-union ve maluniona rastlanmadı. Tedavi sonucunda DİP eklem içi kırığı olan tüm hastalarda ağrısız ve tam eklem hareketi elde edildi; PİP eklem içi ya da İP ekleme yakın kırığı olan hastalarıda ise ağrısız ve tama yakın hareket elde edildi.
Çıkarımlar: Kolay olması ve erken aktif eklem hareketine izin vermesi nedeniyle P&R traksiyon sisteminin uyulanabilir olduğu sonucuna varıldı

Keywords

Bone nails;Bone wires;Finger injuries/surgery;fracture fixation/methods;traction

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Details

Primary Language English
Journal Section Original Article
Authors

Osman Rodop This is me

Ahmet Kiral This is me

Omer Arpacioglu This is me

Publication Date September 11, 2006
Published in Issue Year 2000 Volume: 34 Issue: 2

Cite

APA Rodop, O., Kiral, A., & Arpacioglu, O. (2006). The P&R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand. Acta Orthopaedica Et Traumatologica Turcica, 34(2), 157-163. https://doi.org/10.3944/aott.v34i2.1783
AMA Rodop O, Kiral A, Arpacioglu O. The P&R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand. Acta Orthopaedica et Traumatologica Turcica. September 2006;34(2):157-163. doi:10.3944/aott.v34i2.1783
Chicago Rodop, Osman, Ahmet Kiral, and Omer Arpacioglu. “The P&R (pins and Rubber) Traction System in the Treatment of Comminuted, Displaced, and Intraarticular Fractures in the Hand”. Acta Orthopaedica Et Traumatologica Turcica 34, no. 2 (September 2006): 157-63. https://doi.org/10.3944/aott.v34i2.1783.
EndNote Rodop O, Kiral A, Arpacioglu O (September 1, 2006) The P&R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand. Acta Orthopaedica et Traumatologica Turcica 34 2 157–163.
IEEE O. Rodop, A. Kiral, and O. Arpacioglu, “The P&R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand”, Acta Orthopaedica et Traumatologica Turcica, vol. 34, no. 2, pp. 157–163, 2006, doi: 10.3944/aott.v34i2.1783.
ISNAD Rodop, Osman et al. “The P&R (pins and Rubber) Traction System in the Treatment of Comminuted, Displaced, and Intraarticular Fractures in the Hand”. Acta Orthopaedica et Traumatologica Turcica 34/2 (September 2006), 157-163. https://doi.org/10.3944/aott.v34i2.1783.
JAMA Rodop O, Kiral A, Arpacioglu O. The P&R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand. Acta Orthopaedica et Traumatologica Turcica. 2006;34:157–163.
MLA Rodop, Osman et al. “The P&R (pins and Rubber) Traction System in the Treatment of Comminuted, Displaced, and Intraarticular Fractures in the Hand”. Acta Orthopaedica Et Traumatologica Turcica, vol. 34, no. 2, 2006, pp. 157-63, doi:10.3944/aott.v34i2.1783.
Vancouver Rodop O, Kiral A, Arpacioglu O. The P&R (pins and rubber) traction system in the treatment of comminuted, displaced, and intraarticular fractures in the hand. Acta Orthopaedica et Traumatologica Turcica. 2006;34(2):157-63.