We describe a technique of interlocking Kirschner wires to improve stability after fixation of fractures of the hand. This enables immediate mobilization of the injured fingers thus reducing the need for prolonged postoperative physical therapy and consequently diminishing chances of posttraumatic stiffness. This study analyzes outcomes in 83 fractures in 70 patients including 26 metacarpal and 57 phalangeal fractures. The technique has proven to be simple, versatile, and cost-effective. Patient compliance and satisfaction has been high and results have been gratifying.
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http://dx.doi.org/10.1097/BTH.0000000000000175 | DOI Listing |
We present a case of a patient who sustained a distal radius fracture and underwent volar plate fixation. Despite initial non-operative management, subsequent corrective osteotomy was required due to malunion. Eighteen months later, the patient presented with an inability to extend the thumb, leading to a diagnosis of extensor pollicis longus (EPL) tendon rupture.
View Article and Find Full Text PDFArch Bone Jt Surg
January 2025
Clinical Orthopaedic Surgery, Shoulder & Elbow Division, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Objectives: The purpose of this study is to evaluate the outcomes of a polyaxial locking plate utilizing locking-cap fixation for treatment of patients with displaced olecranon fractures.
Methods: A retrospective review was performed for all consecutive patients at two institutions with displaced olecranon fractures treated with a polyaxial locking plate. Patients were required to have at least 1-year follow up.
Objectives: Bennett's fracture, the most common intra-articular fracture occurring at the base of the thumb, accounts for less than 1% of all hand fractures. It typically results from specific traumatic mechanisms, deforming forces, and ligamentous injuries. To compare the functional outcomes and sequelae in patients with Bennett's fracture treated surgically using: Open reduction and internal screw fixation, closed reduction and percutaneous fixation, arthroscopy-assisted reduction and screw fixation.
View Article and Find Full Text PDFInt J Control Autom Syst
September 2024
Biomedical Engineering Department, Rowan University, Glassboro, NJ 08028, USA.
In the face of challenges encountered during femur fracture surgery, such as the high rates of malalignment and X-ray exposure to operating personnel, robot-assisted surgery has emerged as an alternative to conventional state-of-the-art surgical methods. This paper introduces the development of a leader-follower robot-assisted system for femur fracture surgery, called Robossis. Robossis comprises a 7-DOF haptic controller and a 6-DOF surgical robot.
View Article and Find Full Text PDFJPRAS Open
March 2025
Plastic & Reconstructive Surgery Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Background: Metacarpal shaft fractures account for 30 % of all hand fractures, and long oblique and spiral shaft fractures represent a significant quantity. Closed or open reduction and internal fixation is generally indicated for unstable fractures, rotational malalignment or significant metacarpal shortening. Various techniques can achieve appropriate fixation, though no single technique has been proven to be superior across all cases.
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