Galanopoulos Ioannis, Vynichakis Georgios
Orthopaedics, Thriasio General Hospital, Athens, GRC.
Orthopaedics, General Hospital of Piraeus Tzaneio, Piraeus, GRC.
Cureus. 2019 Feb 4;11(2):e4007. doi: 10.7759/cureus.4007.
Severely comminuted fractures of the middle phalanx of the digits are known to be demanding cases for hand surgeons. The restoration of the length and axis of the phalanx, such as the anatomic reduction of the articular surface in case of intra-articular association are basic principles that have to be followed. A simple and cheap device consisting of two Kirschner wires and a nylon suture can work as an external fixation system based on the principle of ligamentotaxis. As a result, the anatomic reduction of the fracture with minimal soft tissue damage and simple surgical equipment is feasible.
手指中节指骨严重粉碎性骨折对手外科医生来说是具有挑战性的病例。恢复指骨的长度和轴线，例如在关节内骨折时进行关节面的解剖复位，是必须遵循的基本原则。一种由两根克氏针和一根尼龙缝线组成的简单廉价装置可作为基于韧带牵引原理的外固定系统。因此，以最小的软组织损伤和简单的手术设备实现骨折的解剖复位是可行的。
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