Dynamic Distraction External Fixation Derived from the SUZUKI Frame for PIP Joint Fractures

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“…One highly successful external fixator is the one described by Suzuki et al [1], that uses the pins and rubbers to provide traction to the fracture. This system is capable of treating a wide range of complex intra-articular fractures involving the hand, including PIP fractures, metacarpophalangeal joint (MCPJ), and first carpometacarpal joint (CMCJ), with good ROM results at final follow up [5][6][7]. Some variations or this system were described [2][3][4][5][6][7][8], using more available materials but nevertheless following the same principles.…”

“…This system is capable of treating a wide range of complex intra-articular fractures involving the hand, including PIP fractures, metacarpophalangeal joint (MCPJ), and first carpometacarpal joint (CMCJ), with good ROM results at final follow up [5][6][7]. Some variations or this system were described [2][3][4][5][6][7][8], using more available materials but nevertheless following the same principles. Our external fixator is more similar to the one described by Crowley et al [9], that presented a case of a contaminated fracture associated to an FDP avulsion, which presented a ROM of the PIP joint of 15-95° at final follow-up of one year.…”

Mittelgliedbasisimpressionsfrakturen der Finger

“…Jedes Verfahren hat spezifische Vor-und Nachteile. Der externe Distraktionsfixateur bietet sich als Behandlungsform in verschiedenen Varianten an [2,3]. Mit ihm kann jedoch das zentral imprimierte Fragment nicht reponiert werden.…”