A new technique for closed management of displaced intra-articular fractures of metacarpal and phalangeal head delayed on presentation: report of eight cases

作者：Houshian S^*; Jing S S

来源：Journal of Hand Surgery-European Volume, 2014, 39(3): 232-236.

DOI：10.1177/1753193413478350

• Metacarpal fracture
• phalangeal
• intra-articular
• ligamentotaxis
• external fixator
• delayed

We present the outcomes of the delayed management of eight displaced intra-articular fractures of the metacarpal and phalangeal heads treated with capsuloligamentotaxis using the Penning mini-external fixator. Closed anatomical reduction with a 2 mm over-distraction was achieved at the time of operation at an average of 20 days after the initial injury. Excellent outcomes in terms of function and pain were obtained at 6 month's follow-up in all cases. This technique is simple, minimally invasive, and effective, with minimal complications.

• 出版日期2014-3