Evaluation of the Role of DR Joshi’s External Fixator in Management of Complex and Compound Mutilating Injuries of Hands and Forearm.

Abstract

The human body is an amalgamation of many fundamental units put together. Amongst these hands have got a very distinct and important role. Injuries, diseases, and surgical interference therefore do much more harm than interfere with grip, touch, it expresses the personality itself. In disabilities of the Hands, the finest surgery and after care is more essential than in any other region of the body. JOSHI'S EXTERNAL STABILIZING SYSTEM, (JESS), provides a stable skeletal environment aiding rapid healing of soft tissue with establishment of microvascular circulation, immediate active and passive mobilization of the uninjured adjacent joints. It allows management and care of soft tissue injuries without disturbing the fracture site in compound injuries, which is not possible using other methods. AIMS AND OBJECTIVES: Evaluation of the role of Dr Joshi's external fixator in management of complex and compound mutilating injuries of hands and forearm. MATERIALS & METHODS: 40 cases of injuries of hand and forearm attending Orthopaedic OPD and Emergency Department of Orthopedics, M.L.B. Medical College, Jhansi between feb 2010 to feb 2012 were treated by Joshi's external stabilizing system. The patients were followed at regular interval and the results were evaluated clinically and radiographically. CRITERIA FOR SELECTION OF PATIENTS: All the patients of open/closed fractures of metacarpals and phalanges of hand irrespective of age and sex willing to undergo this procedure were selected with permission of ethical committee of medical college. PREOPERATIVE ASSESSMENT OF HAND: Done with 1. History 2. Routine investigations Results will be evaluated on the criteria's laid down:

Functional outcome of mini external fixator in hand injuries: an observational study in a tertiary care hospital

“…Metacarpal and phalangeal fractures are one of the common fractures of the upper extremity that account for about 10% of total body fractures. 1 The distal parts of the hand are the most common parts to be injured. The incidence of metacarpal and phalangeal fractures is most common in males and peaks at the age between 20 and 40 years when the athletic injury and industrial exposure is the most.…”