Treatment of complex proximal interphalangeal joint fractures using a new dynamic external fixator: 15 cases

Körting, O.; Facca, S.; Diaconu, M.; Liverneaux, P.

doi:10.1016/j.main.2009.03.001

Cited by 28 publications

(25 citation statements)

References 20 publications

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“…Secondary fracture dislocation with the PRTS is described by Syed in 2 out of 8 and by Morgan in 5 out of 14 cases (Morgan, 1995, #14; Syed, 2003, #13). This could not be observed in our Ligamentotaxor® group but is described by Körting et al in 1 out of 15 patients treated with Ligamentotaxor® [7]. An interesting aspect of any dynamic fixator system is the long-term improvement of flexion mobility found 8 years after PRTS use.…”

Section: Discussioncontrasting

confidence: 44%

Treatment of Intraarticular Middle Phalanx Fractures Using the Ligamentotaxor®

Damert

Altmann

Kraus

et al. 2013

Hand (New York, N,Y.)

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Background We evaluated the outcome of intraarticular middle phalanx fractures after dynamic treatment with the Ligamentotaxor® system. Materials and methods Ten consecutive patients (seven male, three female; mean age 52 years) with intraarticular middle phalanx fractures were treated with the Ligamentotaxor® between 2009 and 2011. Proximal interphalangeal joint mobility, grip strength and 'Disabilities of the Arm, Shoulder and Hand' (DASH) score were evaluated in a 15-month followup. The reconstitution of the intraarticular space was measured immediately after trauma, at 6 weeks and at 15 months by radiograph control. The severity of the trauma was classified according to AO. Results We found B1 30 %, C1 (Seno I + II) 50 % and C3 (Seno III-V) 20 %. In 60 % of the cases, fractures were localized on the middle base of the fifth digit, in 20 % on the third digit and in 20 % on the index finger. The dynamic treatment lasted 7 weeks; patients were exposed to full workload after 9 weeks. The mean flexion mobility after 15 months reached 73°(range 60-100°), and the extension deficit was 13°(range 0-20°) on average. Grip strength attained 71.3 % (range 60-87 %) of the contralateral side. Initial x-ray after trauma compared to the x-ray after 15 months showed an intraarticular space reconstitution average of 0.5 mm (range 0.1-0.9 mm) anterior-posterior and 0.6 mm (range 0.1-1 mm) lateral. Patients evaluated their outcome with an average of 14.6 points (range 3.3-26.7) using the DASH score. Conclusion Good results can be obtained with the Ligamentotaxor®. We recommend it for the dynamic treatment of intraarticular middle phalanx finger fractures. Larger series and long-term results are needed.

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Section: Discussioncontrasting

confidence: 44%

Treatment of Intraarticular Middle Phalanx Fractures Using the Ligamentotaxor®

Damert

Altmann

Kraus

et al. 2013

Hand (New York, N,Y.)

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“…16) Other recent studies on the Ligamentotaxor have reported similar results with average ROM at the PIPJ of up to 73°. 15) This is alongside improved grip strengths and DASH scores. The better results are possibly related to the longer follow up of those patients.…”

Section: Discussionmentioning

confidence: 93%

“…4) Advocates suggest the Ligamentotaxor offers additional benefits through its spring-tensioned ligamentotaxis preventing chondral collapse at the fracture site. 15) This aids joint remodeling whilst preventing intra-articular adhesions and capsuloligamentous contracture. 15) Additionally the system allows more precise wire placement and more reproducible results.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcomes Following Pilon Fractures of the Middle Phalanx Managed with the Ligamentotaxor External Fixator

et al. 2015

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“…Ligamentotaxor® (AREX,Palaiseau, Fransa) sistemi diğer dinamik eksternal fiksayon sistemleri gibi erken eklem hareketini sağlamakta ve tendon yapışıklıkları ile eklem sertliklerini engellediği gösterilmiştir (2,5,11). Bu sistemin bir diğer avantajı öğrenme eğrisinin kısalığı, kullanım kolaylığı ve ağır olmaması sayılabilir (5).…”

Section: Discussionunclassified

“…Bu sistemin bir diğer avantajı öğrenme eğrisinin kısalığı, kullanım kolaylığı ve ağır olmaması sayılabilir (5). Pin enfeksiyonu ve osteoliz bazı dinamik eksternal sistemlerde gösterilmiştir (12)(13)(14).…”

Section: Discussionunclassified

A New Dynamic External Fixation Method in Finger Replantations and Toe-To-Hand Transfers

Yıldız¹,

Kerem²,

Karaaltın³

et al. 2014

Bezmialem Science

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Objective: This study presents a simple and versatile finger fixation method facilitating rehabilitation in the early period and better functional results in replantation and toe-to-hand transfer patients. Methods:In 12 patients, bone fixations were performed by using a dynamic external finger fixator system. The duration of fixations was recorded. The potential complications, such as non-union, pain, joint stiffness, infection of pins, inadequate stabilization, and swelling, were documented. Subjective pain scale was applied on each patient, and the level of satisfaction of patients was examined.Results: All finger transfers and replantations were achieved. The mean time of bone fixation was 11.6 minutes (9 to 20 min.). Nonunion associated with fixation and infection did not occur. Whereas 8 patients were satisfied with the functional results, 3 replantation cases and 1 toe-to-hand transfer patient were dissatisfied. In the assessment of the appearance of the finger, 2 replantation cases and 4 toe-to-hand transfer patients (50% of all cases) were dissatisfied. Conclusion:We are convinced that this dynamic external fixation system, including versatile advantages, such as arranging earlier finger motion, having a simple and quick learning process, reducing the operation time, being able to be used as contributing material in anastomosis, and having fewer complications, can be successfully used in replantations and toe-to-hand transfers.Key Words: Toe-to-hand transfer, replantation, dynamic external fixator, ligamentotaxis ÖZET Amaç: Bu çalışmada replantasyon ve ayaktan ele parmak nakil olgularında rehabilitasyonun erken dönemde yapılmasına ve daha iyi fonksiyonel sonuçlar alınabilmesine olanak sağlayan basit ve çok yönlü işlevsel bir parmak tespit yöntemini sunulmaktadır.Yöntemler: Oniki hastada dinamik eksternal parmak tespit sistemi ile kemik fiksasyonu sağlandı. Kemik tespit süreleri kaydedildi. Ameliyat sonrası kemik tespite ilişkin kaynamama, ağrı, eklem sertlikleri, pin enfeksiyonu, yetersiz stabilizasyon ve şişlik gibi olası komplikasyonlar dokümante edildi. Hastalara subjektif ağrı değer-lendirmeleri uygulandı ve memnuniyet düzeyleri sorgulandı. Bulgular:Tüm parmak nakilleri ve replantasyonları başarı ile gerçekleştirildi. Kemik tespit süresi ortalama 11,6 dakika (dağılım 9-20 dakika) olarak saptandı. Tespite bağlı kırık segmentte kaynamama, enfeksiyon gerçekleşmedi. 8 hasta fonksiyonel sonuçtan memnun iken, 3 replantasyon olgusu ile 1 ayaktan ele parmak nakli olgusu memnuniyetsizlik belirtmiştir. Parmak görünümü için değerlendirmede ise 2 replantasyon olgusu ile 4 ayaktan ele parmak nakli olgusu (olguların %50'si) memnuniyetsizlik bildirmiştir.Sonuç: Dinamik eksternal fiksasyon sistemi parmak hareketlerine erken dönemde olanak sağlaması, kolay ve hızlı öğrenme süreci, ameliyat süresini azaltması, damar anastomozunda yardımcı materyal olarak kullanılabilmesi ve komplikasyonlarının azlığı gibi çok yönlü avantajları nedeniyle replantasyon ve ayaktan ele parmak nakli olgularında başarıyla kullanılabi...

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Treatment of complex proximal interphalangeal joint fractures using a new dynamic external fixator: 15 cases

Cited by 28 publications

References 20 publications

Treatment of Intraarticular Middle Phalanx Fractures Using the Ligamentotaxor®

Treatment of Intraarticular Middle Phalanx Fractures Using the Ligamentotaxor®

Functional Outcomes Following Pilon Fractures of the Middle Phalanx Managed with the Ligamentotaxor External Fixator

A New Dynamic External Fixation Method in Finger Replantations and Toe-To-Hand Transfers

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