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- W2885282961 abstract "INTRODUCTION: Fractures involving the tubular bones of the hand are the mostcommon of all skeletal injuries. It accounts for approximately one third offractures involving the hand. Outer rays of hand especially thumb andlittle fingers are most commonly involved. Unfortunately these are oftenneglected or regarded as trivial injuries.Hand fractures can be complicatedby deformity from no treatment, stiffness from overtreatment and bothfrom poor treatment. Preventing angular or rotational deformity, articularstiffness, and tendon adhesions challenges the even the most experiencedsurgeon. As Charnley recognized : The reputation of a surgeon maystand as much in jeopardy from this injury [ phalangeal fracture] asfrom any fracture of the femur. The incidence of the metacarpal and the phalangeal fractures peaks between 10 and 40 years. Most fractures are functionally stable either before or after the closed reduction and will do well with the protective splintage and early mobilisation.AIM OF STUDY: The main objectives of this clinical study are 1. To discuss the role of traction splint in the management of proximal phalangeal fractures which are not amenable to the other forms of treatment.2. To evaluate the results of the cases of proximal phalangeal fractures managed by the traction splint.3. To review the age and sex incidence, mode and the type of injury in cases of proximal phalangeal fractures.4. To study the commonly involved hand and fingers, type of the fractures, anatomical site of the fracture and the treatment options.5. To discuss the postoperative management and final outcome.MATERIALS AND METHODS: This study consists of evaluation of all consecutive proximal phalangeal fractures managed in our department from July 2005 toOctober 2007. This study included 32 patients of proximal phalangealfractures which are suitable for nail traction system were treated with nailtraction splint. The average age of the study group was 27.6 years. Thematerial used for the traction was a long malleable aluminium splint,POP, 3-0 Prolene suture and bandage materials.Methodology:-The factors taken in to account for analysis in this study were1. Age and Sex of the patient2. Mode of Injury3. Type of the wound4. Anatomical site of the Fracture with presence of intraarticularextension5. Type of the fracture6. The involved Hand and fingersRESULTS: The mean time for clinical union was 21 days (14 to 28 days). Themean time for radiological union was 42 days (28 to 56 days). 24 patientshad good functional outcome (75%), Six patients had moderate outcome(18.75%) and only two patients (6.25%) had poor outcome. The meanROM of the involved PIP joints was above 70° in most of the cases. Nofixed flexion deformities were observed. All patients returned to their preinjury work status and were satisfied with their overall result.CONCLUSION: Traction splint with long aluminium splint immobilisation, in ourstudy has proved most simple and least invasive procedure not requiringsophisticated bone instruments or manipulation. It is cheap in terms ofraw materials, which include: aluminum splint, which can be easilyprocured cheaply, POP, prolene suture & bandage materials. Whencompared to other treatment options, it is a technically easier procedure,found to be safe, efficient and effective in the management of proximalphalangeal fractures particularly associated with the comminution and theintraarticular component where other options are too difficult or notpossible.Post operative results are good in more than 75% of patients (goodplus moderate 93.75%); poor results (6.25%) are rarely seen. Number ofcomplications needing secondary procedures is much less when comparedwith other methods of management.Good results were observed in most of the patients with very goodradiological and functional outcome without significant complicationsprovided good followup could be ensured.In cases with poor follow up theresult can turn out to be poor as we observed in two of our cases." @default.
- W2885282961 created "2018-08-22" @default.
- W2885282961 creator A5027196276 @default.
- W2885282961 date "2008-03-01" @default.
- W2885282961 modified "2023-09-26" @default.
- W2885282961 title "Use of Nail Traction Splint in the management of Proximal Phalangeal Fractures of the Hand" @default.
- W2885282961 hasPublicationYear "2008" @default.
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