A Series of Cases of Catastrophic Fingers Treated with a Variety of Dynamic External Fixator Volume 3 - Issue 3

Francesca Teodonno¹*, Alberto Abad Arevalillo³, Daniel López Dorado¹, María Brotat Rodríguez¹, Pablo Vadillo Cardona² and Patricia Crespo Lastras¹

• ¹Infanta Elena University Hospital, Spain
• ²La Paz University Hospital, Spain
• ³Tajo University Hospital, Spain

Received: January 24, 2020;   Published: January 31, 2020

Corresponding author: Francesca Teodonno, Francesca Teodonno, Department of Orthopedic Surgery and Traumatology, Infanta Elena Hospital, Valdemoro, Madrid, Spain

DOI: 10.32474/OSMOAJ.2020.03.000165

 

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Abstract

Complex intra-articular phalanx fractures are challenging to treat. The combination of anatomic reduction and stable fixation while preserving the vascularization of bone fragments, followed by early mobilization is the ideal treatment. In our series of cases, two “catastrophic fingers” were treated with an easy-to-build external fixator composed by 1.2 mm Kirschner wires passed through a needle cap. At final follow up, both patients presented a satisfactory ROM, with a good function of the finger. It is considered an acceptable treatment for these types of injuries that require urgent care.

Keywords: Catastrophic Fingers; External Fixator; Hand Trauma; Phalanx Fractures

Abstract| Introduction| Objective| Patients and Material| Surgical Technique| Results| Discussion| Conclusion| Study Design/Level of Evidence| References|