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Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion

The nonunion of distal phalangeal communized fracture is relatively rare in hand fractures. However, if it occurred, the surgical treatment is quite difficult because of small piece of fragmentations. We developed a new fixation method that involves the insertion of two wires and external wire compr...

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Autores principales: Ichihara, Satoshi, Yamamoto, Yasuhiro, Hara, Akira, Suzuki, Masao, Maruyama, Yuichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456469/
https://www.ncbi.nlm.nih.gov/pubmed/32904504
http://dx.doi.org/10.1155/2020/8878002
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author Ichihara, Satoshi
Yamamoto, Yasuhiro
Hara, Akira
Suzuki, Masao
Maruyama, Yuichiro
author_facet Ichihara, Satoshi
Yamamoto, Yasuhiro
Hara, Akira
Suzuki, Masao
Maruyama, Yuichiro
author_sort Ichihara, Satoshi
collection PubMed
description The nonunion of distal phalangeal communized fracture is relatively rare in hand fractures. However, if it occurred, the surgical treatment is quite difficult because of small piece of fragmentations. We developed a new fixation method that involves the insertion of two wires and external wire compression fixation using a metal clamp. The aim of this technique was to increase the compression force between fragments and rigidity of conventional percutaneous Kirschner wire fixation. Here, we present a patient with the nonunion of distal phalangeal communized fracture who was satisfactorily treated with open reduction and percutaneous interfragmentary compression fixation with a linking external wire fixator (the Ichi-Fixator system). Such a treatment that enables compression fixation for communized distal phalangeal fracture of nonunion will clearly boost bone healing. Linked external wire-type compression fixator (the Ichi-Fixator system) enables enhanced security of fixation and facilitates the bone healing.
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spelling pubmed-74564692020-09-03 Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion Ichihara, Satoshi Yamamoto, Yasuhiro Hara, Akira Suzuki, Masao Maruyama, Yuichiro Case Rep Orthop Case Report The nonunion of distal phalangeal communized fracture is relatively rare in hand fractures. However, if it occurred, the surgical treatment is quite difficult because of small piece of fragmentations. We developed a new fixation method that involves the insertion of two wires and external wire compression fixation using a metal clamp. The aim of this technique was to increase the compression force between fragments and rigidity of conventional percutaneous Kirschner wire fixation. Here, we present a patient with the nonunion of distal phalangeal communized fracture who was satisfactorily treated with open reduction and percutaneous interfragmentary compression fixation with a linking external wire fixator (the Ichi-Fixator system). Such a treatment that enables compression fixation for communized distal phalangeal fracture of nonunion will clearly boost bone healing. Linked external wire-type compression fixator (the Ichi-Fixator system) enables enhanced security of fixation and facilitates the bone healing. Hindawi 2020-08-20 /pmc/articles/PMC7456469/ /pubmed/32904504 http://dx.doi.org/10.1155/2020/8878002 Text en Copyright © 2020 Satoshi Ichihara et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ichihara, Satoshi
Yamamoto, Yasuhiro
Hara, Akira
Suzuki, Masao
Maruyama, Yuichiro
Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion
title Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion
title_full Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion
title_fullStr Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion
title_full_unstemmed Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion
title_short Open Reduction and Intrafragmentary Compression Fixation with External Fixator (the Ichi-Fixator) Treatment of Distal Phalangeal Nonunion
title_sort open reduction and intrafragmentary compression fixation with external fixator (the ichi-fixator) treatment of distal phalangeal nonunion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456469/
https://www.ncbi.nlm.nih.gov/pubmed/32904504
http://dx.doi.org/10.1155/2020/8878002
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