Aslan M, Duroux F, Delattre O
Service de chirurgie orthopédique du membre supérieur, CHU Pierre-Zobda-Quitman, 97260 Fort-de-France, France.
Chir Main. 2013 Feb;32(1):48-50. doi: 10.1016/j.main.2012.10.166. Epub 2012 Oct 30.
We report the case of a combination of closed extra-articular phalangeal fractures of the thumb, creating a floating interphalangeal joint. The lesions described were the result of a direct trauma to the thumb during the earthquake in Haiti in January 2010. It was fixed seven days after the trauma using a percutaneous external fixation with a dorsal frame or Martinique's "Ti'fix" - a modification of the Beaubourg fixator. We describe this simple, economical and improved quality method of fixation. Consolidation permitted the removal of the external fixator a month after surgery, followed by early mobilization. We report the functional and aesthetic results at 1-year follow-up.
我们报告了一例拇指闭合性关节外指骨骨折合并形成浮动指间关节的病例。所述损伤是2010年1月海地地震期间拇指受到直接创伤的结果。创伤发生七天后，采用经皮外固定术，使用背侧支架或马提尼克岛的“Ti'fix”（对博堡固定器的一种改良）进行固定。我们描述了这种简单、经济且固定质量有所提高的方法。骨折愈合后，术后一个月拆除外固定器，随后进行早期活动。我们报告了术后1年的功能和美观效果。
