A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report

Severely comminuted fractures of the middle phalanx of the digits are known to be demanding cases for hand surgeons. The restoration of the length and axis of the phalanx, such as the anatomic reduction of the articular surface in case of intra-articular association are basic principles that have to...

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Detalles Bibliográficos
Autores principales: Galanopoulos, Ioannis, Vynichakis, Georgios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Orthopedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450595/
https://www.ncbi.nlm.nih.gov/pubmed/31001461
http://dx.doi.org/10.7759/cureus.4007
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author Galanopoulos, Ioannis
Vynichakis, Georgios
author_facet Galanopoulos, Ioannis
Vynichakis, Georgios
author_sort Galanopoulos, Ioannis
collection PubMed
description Severely comminuted fractures of the middle phalanx of the digits are known to be demanding cases for hand surgeons. The restoration of the length and axis of the phalanx, such as the anatomic reduction of the articular surface in case of intra-articular association are basic principles that have to be followed. A simple and cheap device consisting of two Kirschner wires and a nylon suture can work as an external fixation system based on the principle of ligamentotaxis. As a result, the anatomic reduction of the fracture with minimal soft tissue damage and simple surgical equipment is feasible.
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spelling pubmed-64505952019-04-18 A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report Galanopoulos, Ioannis Vynichakis, Georgios Cureus Orthopedics Severely comminuted fractures of the middle phalanx of the digits are known to be demanding cases for hand surgeons. The restoration of the length and axis of the phalanx, such as the anatomic reduction of the articular surface in case of intra-articular association are basic principles that have to be followed. A simple and cheap device consisting of two Kirschner wires and a nylon suture can work as an external fixation system based on the principle of ligamentotaxis. As a result, the anatomic reduction of the fracture with minimal soft tissue damage and simple surgical equipment is feasible. Cureus 2019-02-04 /pmc/articles/PMC6450595/ /pubmed/31001461 http://dx.doi.org/10.7759/cureus.4007 Text en Copyright © 2019, Galanopoulos et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Galanopoulos, Ioannis
Vynichakis, Georgios
A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report
title A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report
title_full A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report
title_fullStr A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report
title_full_unstemmed A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report
title_short A Bridging: Distraction External Fixation for a Severely Comminuted Fracture of the Middle Phalanx. A Case Report
title_sort bridging: distraction external fixation for a severely comminuted fracture of the middle phalanx. a case report
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450595/
https://www.ncbi.nlm.nih.gov/pubmed/31001461
http://dx.doi.org/10.7759/cureus.4007
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