Klinik Araştırma
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Suzuki Frame Results in the Treatment of Comminuted Phalanx Fractures

Yıl 2021, Cilt: 2 Sayı: 1, 25 - 32, 29.01.2021
https://doi.org/10.47482/acmr.2021.11

Öz

Background: Comminuted fracture of the PIP joint is one of the most challenging fractures to be treated in hand surgery practice. The pins and rubber traction frame is an easy method to perform for these fractures. This study aimed to present the treatment stages of patients who had PIP joint fractures-dislocations with the pins and rubber traction frame and the functional results of patients.

Methods: The results of eight patients with fracture-dislocations of the PIP joint between 2016 and 2019 were retrospectively analyzed. Age and gender of patients, time between trauma and surgery, postoperative follow-up periods, affected area on the joint surface, postoperative complications, range of motion of PIP and DIP joints, affected finger, and the causes of the trauma were recorded.

Results: Five (62.5%) patients were male, and three (37.5%) patients were female in this study. The mean age of the patients was 28.50 ± 3.42 years. The mean range of motion of the PIP joint examined in the postoperative 12th month was 4.88° to 86.25°. In the same period, the mean range of motion of the DIP joint of the patients was 4.38° to 86.25°. We obtained union in all patients. Malunion or nonunion and osteomyelitis were not seen in any patients.

Conclusions: The pins and rubber traction frame is a method that can be used safely and effectively in fractures of the phalanx joints that are difficult, comminuted, and involving the joint.

Kaynakça

  • 1. Dean BJ, Little C. Fractures of the metacarpals and phalanges. Orthop Trauma. 2011;25(1):43-56.
  • 2. Rockwood C, Green D, Butler Jr T. Fractures and dislocations of the hand. 4th edn. ed. Philadelphia: Lippincott Raven; 1996. 607-744 p.
  • 3. Kiefhaber TR, Stern PJ. Fracture dislocations of the proximal interphalangeal joint. J Hand Surg Am. 1998;23(3):368-80.
  • 4. Williams RM, Kiefhaber TR, Sommerkamp TG, Stern PJ. Treatment of unstable dorsal proximal interphalangeal fracture/dislocations using a hemi-hamate autograft. J Hand Surg Am. 2003;28(5):856-65.
  • 5. Nalbantoğlu U, Gereli A, Kocaoğlu B, Aktaş S, Seyhan M. Surgical treatment of unstable fracture-dislocations of the proximal interphalangeal joint. Acta Orthop Traumatol Turc. 2007;41(5):373.
  • 6. Deitch MA, Kiefhaber TR, Comisar BR, Stern PJ. Dorsal fracture dislocations of the proximal interphalangeal joint: surgical complications and long-term results. J Hand Surg Am. 1999;24(5):914-23.
  • 7. Ng C, Oliver C. Fractures of the proximal interphalangeal joints of the fingers. J Bone Joint Surg Br. 2009;91(6):705-12.
  • 8. Deshmukh S, Kumar D, Mathur K, Thomas B. Complex fracturedislocation of the proximal interphalangeal joint of the hand: Results of a modified pins and rubbers traction system. J Bone Joint Surg Br. 2004;86(3):406-12.
  • 9. Agarwal AK, Karri V, Pickford MA. Avoiding pitfalls of the pins and rubbers traction technique for fractures of the proximal interphalangeal joint. Ann Plast Surg. 2007;58(5):489-95.
  • 10. Suzuki Y, Matsunaga T, Sato S, Yokoi T. The pins and rubbers traction system for treatment of comminuted intraarticular fractures and fracturedislocations in the hand. J Hand Surg Eur Vol. 1994;19(1):98-107.
  • 11. Stern P. Fractures of the metacarpals and phalanges. Churchill Livingstone1993. 698-710 p.
  • 12. Jupiter JB, Sheppard JE. Tension wire fixation of avulsion fractures in the hand. Clin Orthop Relat Res. 1987(214):113-20.
  • 13. Sarris I, Goitz RJ, Sotereanos DG. Dynamic traction and minimal internal fixation for thumb and digital pilon fractures. J Hand Surg Am. 2004;29(1):39-43.
  • 14. Ellis SJ, Cheng R, Prokopis P, Chetboun A, Wolfe SW, Athanasian EA, et al. Treatment of proximal interphalangeal dorsal fracturedislocation injuries with dynamic external fixation: a pins and rubber band system. J Hand Surg Am. 2007;32(8):1242-50.
  • 15. Ruland RT, Hogan CJ, Cannon DL, Slade JF. Use of dynamic distraction external fixation for unstable fracture-dislocations of the proximal interphalangeal joint. J Hand Surg Am. 2008;33(1):19-25.
  • 16. Inanami H, Ninomiya S, Okutsu I, Tarui T, Fujiwara N. Dynamic external finger fixator for fracture dislocation of the proximal interphalangeal joint. J Hand Surg Am. 1993;18(1):160-4.
  • 17. Bain GI, Mehta JA, Heptinstall RJ, Bria M. Dynamic external fixation for injuries of the proximal interphalangeal joint. J Bone Joint Surg Br. 1998;80(6):1014-9.
  • 18. Krakauer JD, Stern PJ. Hinged device for fractures involving the proximal interphalangeal joint. Clin Orthop Relat Res. 1996;327:29-37.
  • 19. Skoff HD. A proximal interphalangeal joint fracture-dislocation treated by limited open (percutaneous) reduction and dynamic external fixation. Plast Reconstr Surg. 1997;99(2):587-9.
  • 20. Agee JM. Unstable fracture dislocations of the proximal interphalangeal joint of the fingers: a preliminary report of a new treatment technique. J Hand Surg Am. 1978;3(4):386-9.
  • 21. Agée JM. Unstable fracture dislocations of the proximal interphalangeal joint treatment with the force couple splint. Clin Orthop Relat Res. 1987;214:101-12.
  • 22. Badia A, Riano F, Ravikoff J, Khouri R, Gonzalez-Hernandez E, Orbay JL. Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations. J Hand Surg Am. 2005;30(1):154-60.
  • 23. Cardoso R, Li Z. Novel wire external fixation technique for proximal phalanx pilon fractures: technique and 2 case reports. Tech Hand Up Extrem Surg. 2011;15(3):162-5.
  • 24. Kiral A, Erken HY, Akmaz I, Yildirim C, Erler K. Pins and rubber band traction for treatment of comminuted intra-articular fractures in the hand. J Hand Surg Am. 2014;39(4):696-705.
  • 25. Nanno M, Kodera N, Tomori Y, Takai S. Pins and rubbers traction system for fractures of the proximal interphalangeal joint. J Orthop Surg. 2019;27(2):2309499019840771.
Yıl 2021, Cilt: 2 Sayı: 1, 25 - 32, 29.01.2021
https://doi.org/10.47482/acmr.2021.11

Öz

Kaynakça

  • 1. Dean BJ, Little C. Fractures of the metacarpals and phalanges. Orthop Trauma. 2011;25(1):43-56.
  • 2. Rockwood C, Green D, Butler Jr T. Fractures and dislocations of the hand. 4th edn. ed. Philadelphia: Lippincott Raven; 1996. 607-744 p.
  • 3. Kiefhaber TR, Stern PJ. Fracture dislocations of the proximal interphalangeal joint. J Hand Surg Am. 1998;23(3):368-80.
  • 4. Williams RM, Kiefhaber TR, Sommerkamp TG, Stern PJ. Treatment of unstable dorsal proximal interphalangeal fracture/dislocations using a hemi-hamate autograft. J Hand Surg Am. 2003;28(5):856-65.
  • 5. Nalbantoğlu U, Gereli A, Kocaoğlu B, Aktaş S, Seyhan M. Surgical treatment of unstable fracture-dislocations of the proximal interphalangeal joint. Acta Orthop Traumatol Turc. 2007;41(5):373.
  • 6. Deitch MA, Kiefhaber TR, Comisar BR, Stern PJ. Dorsal fracture dislocations of the proximal interphalangeal joint: surgical complications and long-term results. J Hand Surg Am. 1999;24(5):914-23.
  • 7. Ng C, Oliver C. Fractures of the proximal interphalangeal joints of the fingers. J Bone Joint Surg Br. 2009;91(6):705-12.
  • 8. Deshmukh S, Kumar D, Mathur K, Thomas B. Complex fracturedislocation of the proximal interphalangeal joint of the hand: Results of a modified pins and rubbers traction system. J Bone Joint Surg Br. 2004;86(3):406-12.
  • 9. Agarwal AK, Karri V, Pickford MA. Avoiding pitfalls of the pins and rubbers traction technique for fractures of the proximal interphalangeal joint. Ann Plast Surg. 2007;58(5):489-95.
  • 10. Suzuki Y, Matsunaga T, Sato S, Yokoi T. The pins and rubbers traction system for treatment of comminuted intraarticular fractures and fracturedislocations in the hand. J Hand Surg Eur Vol. 1994;19(1):98-107.
  • 11. Stern P. Fractures of the metacarpals and phalanges. Churchill Livingstone1993. 698-710 p.
  • 12. Jupiter JB, Sheppard JE. Tension wire fixation of avulsion fractures in the hand. Clin Orthop Relat Res. 1987(214):113-20.
  • 13. Sarris I, Goitz RJ, Sotereanos DG. Dynamic traction and minimal internal fixation for thumb and digital pilon fractures. J Hand Surg Am. 2004;29(1):39-43.
  • 14. Ellis SJ, Cheng R, Prokopis P, Chetboun A, Wolfe SW, Athanasian EA, et al. Treatment of proximal interphalangeal dorsal fracturedislocation injuries with dynamic external fixation: a pins and rubber band system. J Hand Surg Am. 2007;32(8):1242-50.
  • 15. Ruland RT, Hogan CJ, Cannon DL, Slade JF. Use of dynamic distraction external fixation for unstable fracture-dislocations of the proximal interphalangeal joint. J Hand Surg Am. 2008;33(1):19-25.
  • 16. Inanami H, Ninomiya S, Okutsu I, Tarui T, Fujiwara N. Dynamic external finger fixator for fracture dislocation of the proximal interphalangeal joint. J Hand Surg Am. 1993;18(1):160-4.
  • 17. Bain GI, Mehta JA, Heptinstall RJ, Bria M. Dynamic external fixation for injuries of the proximal interphalangeal joint. J Bone Joint Surg Br. 1998;80(6):1014-9.
  • 18. Krakauer JD, Stern PJ. Hinged device for fractures involving the proximal interphalangeal joint. Clin Orthop Relat Res. 1996;327:29-37.
  • 19. Skoff HD. A proximal interphalangeal joint fracture-dislocation treated by limited open (percutaneous) reduction and dynamic external fixation. Plast Reconstr Surg. 1997;99(2):587-9.
  • 20. Agee JM. Unstable fracture dislocations of the proximal interphalangeal joint of the fingers: a preliminary report of a new treatment technique. J Hand Surg Am. 1978;3(4):386-9.
  • 21. Agée JM. Unstable fracture dislocations of the proximal interphalangeal joint treatment with the force couple splint. Clin Orthop Relat Res. 1987;214:101-12.
  • 22. Badia A, Riano F, Ravikoff J, Khouri R, Gonzalez-Hernandez E, Orbay JL. Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations. J Hand Surg Am. 2005;30(1):154-60.
  • 23. Cardoso R, Li Z. Novel wire external fixation technique for proximal phalanx pilon fractures: technique and 2 case reports. Tech Hand Up Extrem Surg. 2011;15(3):162-5.
  • 24. Kiral A, Erken HY, Akmaz I, Yildirim C, Erler K. Pins and rubber band traction for treatment of comminuted intra-articular fractures in the hand. J Hand Surg Am. 2014;39(4):696-705.
  • 25. Nanno M, Kodera N, Tomori Y, Takai S. Pins and rubbers traction system for fractures of the proximal interphalangeal joint. J Orthop Surg. 2019;27(2):2309499019840771.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm ORIGINAL ARTICLE
Yazarlar

Mehmet Cenk Turgut 0000-0002-8642-6824

Serdar Toy 0000-0001-8074-4672

Yayımlanma Tarihi 29 Ocak 2021
Gönderilme Tarihi 14 Aralık 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 2 Sayı: 1

Kaynak Göster

APA Turgut, M. C., & Toy, S. (2021). Suzuki Frame Results in the Treatment of Comminuted Phalanx Fractures. Archives of Current Medical Research, 2(1), 25-32. https://doi.org/10.47482/acmr.2021.11

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