Curtis National Hand Center, Baltimore, MD.
Tech Hand Up Extrem Surg. 2020 Sep;24(3):126-130. doi: 10.1097/BTH.0000000000000280.
Comminuted intra-articular phalanx fractures are complicated injuries often treated with external fixation. The ideal external fixation system should be affordable, readily available, adaptable, and easy to use. The use of dynamic external fixation has advanced the care of these injuries but can be difficult to implement. The authors present a case example of a patient with a comminuted intra-articular phalangeal fracture of the left small finger treated using a syringe as a static uniplanar fixator that was converted to a dynamic fixator during postoperative recovery.
粉碎性关节内指骨骨折是一种复杂的损伤,通常采用外固定治疗。理想的外固定系统应具有价格实惠、易于获取、可调节和易于使用等特点。动态外固定的应用推动了这些损伤的治疗进展,但实施起来可能较为困难。本文作者报告了 1 例左手小指粉碎性关节内指骨骨折患者的病例,使用注射器作为静态单平面固定器进行治疗,术后恢复期间将其转换为动态固定器。