Volume 20 No 13 (2022)
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Functional outcome in fracture of phalanges managed with mini distractor in a tertiary care centre of North India
r Manmeet Singh, Dr Nitish Sharma, Dr Anwar Ahmed, Dr Tejpal Singh, Dr Bias Dev, Dr Pankaj Vir Singh
Abstract
Introduction
Phalangeal fractures are extremely common injuries in hand that are dealt with in emergency
department. Some of the common causes of hand injuries are crush, compression, machinery injuries,
explosive/ firearm injuries. The principal management involves restoration of articular congruity and
fixation. This study reviewed functional results in a group of patientswith phalangeal fracture treated
with a mini external fixator.
Purpose/ Aim
The aim of the study was to study the functional outcome in fracture of phalanges managed with mini
distractor.
Materials and methods
Prospective analysis of 20 cases of phalangeal fracture over a period of 6 months. Inclusion criteria
included skeletally mature patients, open and closed fractures, comminuted fractures, either intraarticular or extra-articular. Exclusion criteria for the use of mini fixators were skeletally immature
patients, and associated neurovascular injury.
Results
Results were markedly better in extra- articular fractures than the intraarticular fractures and in closed
fractures more than open fractures. Functional outcome was assessed by ASSH TAF score. Excellent and
good results were observed in the majority of patients (75%). Poor results were seen in patients (25%)
when the fracture was intra-articular and the time of external fixator removal was increased by more
than 3 weeks.
Conclusion
Our study concluded that an external fixator is a suitable and alternative technique for stabilizing
comminuted and open fractures of phalanges
Keywords
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