Extraarticular Antegrade Fixation Of Proximal Phalynx Fractures With Bent K Wire
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Introduction: Any fixation technique used in fixation of phalynx fractures should provide good stability to allow early mobilization. K wires are the most commonly used fixation devices in the proximal phalynx fractures. They have been used in various configurations. We aim to study the effectiveness of a new fixation technique using extraarticular antegrade bent K wires to achieve 3 point fixation and allow early mobilization. Material methods: 18 patients with proximal phalynx fractures were included in our study. Closed reduction with bent k wire was done. Patients were followed up for a minimum period of 3 months. We assessed the outcome by calculating the Total active range of motion at three months after the surgery. Any complication was also documented. Results: The average healing time was 45 days. Excellent outcome was seen in 63 % of the patients. No major complications were recorded. Conclusion: Extraarticular antegrade fixation with bent K wire which achieves 3 point fixation has better stability to allow early mobilization. Extraarticular entry point allows better joint movements after the surgery. This technique is easy and cost effective way to provide good fixation in proximal phalynx fractures.
Authors and Affiliations
Mohammed Sadiq, Raju Kulkarni
Keywords
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