STABILISATION OF PHALANGEAL AND METACARPAL FRACTURES WITH JESS FIXATION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 12
Abstract
BACKGROUND The human hand is the most vulnerable part of the body prone to a variety of injuries especially in industries, agricultural fields and adding to this increased road traffic accidents resulting in high incidence of phalangeal and metacarpal fractures particularly mutilating hand injuries, open fractures, comminuted fractures and intra-articular fractures. The purpose of the study is to evaluate the overall functional outcome of hand treated with JESS fixation for metacarpal and phalangeal fracture and to study the complications associated with their management. MATERIALS AND METHODS We have studied 30 patients with 37 fractures of metacarpals and phalanges of hand with JESS mini external fixator at Department of Orthopaedics, Rangaraya Medical College. The study was done from October 2012 to August 2014. Age of the patients range from 10-60 yrs. with most of the patients belong to 21-40 yrs. age group. The majority of the patients were male (M:F = 26:4). The sample size reflected the population visiting the trauma section of our department. Most of the fractures are caused by RTA and on right hand. Majority of the fractures are occurred in proximal phalanx, followed by metacarpal. RESULTS All patients were followed for a minimum of 6 months and the mean follow-up period was 33.77 wks. The mean fracture healing in our study was 12.77 weeks. Reviewing the literature, the average radiological healing of phalanges and metacarpals is 4-5 months, which ranges from 1-17 months. The fracture healing time in our study compares favourably with those reported in the literature. Mean duration of implant (JESS) application was 4.42 wks. Complications like pin-tract infection encountered in five patients, three pin loosening, one total stiffness and 10 of them had partial stiffness. CONCLUSION JESS fixation provides an adequate basis for bone healing is a good and simple alternative to standard treatment especially in open, intraarticular, comminuted and multiple phalangeal and metacarpal fractures.
Authors and Affiliations
Shyam Sundar Bakki, Nageswara Rao Yennapu, Anil Kumar Chollangi, Vamsi Krishna Kurmana, Ravi Teja Kolluru
Keywords
Related Articles
- EP ID EP214023
- DOI 10.18410/jebmh/2017/128
- Views 117
- Downloads 0
CORRELATION OF FUNDUS CHANGES IN RELATION TO REFRACTIVE ERROR IN PATIENTS WITH MYOPIA- A CLINICAL PROSPECTIVE STUDY
BACKGROUND Retina is unique among the complex element of the central nervous system and the special senses. It may be readily viewed during life and it is sufficiently transparent, so that alterations within and adjacent...
ROLE OF FINE NEEDLE ASPIRATION CYTOLOGY IN DIAGNOSIS OF METASTATIC LYMPHADENOPATHY
INTRODUCTION Lymph node is a common site of metastasis for various malignancies. So the strong clinical suspicion and thus the early diagnosis of palpable lymphadenopathy by FNAC is of paramount importance. It is useful...
PAEDIATRIC OVARIAN TORSION- SALVAGING THE UNSALVAGEABLE
BACKGROUND Ovariectomy used to be the conventional treatment for ovarian torsion in the paediatric age group. A paradigm shift in the management of paediatric ovarian torsion was reported in recent years, with ovarian re...
CLINICAL STUDY ON NON-TRAUMATIC PERFORATIONS OF SMALL INTESTINE
Management of non-traumatic perforation of small intestine has always been a challenge for surgeons as it is associated with high morbidity and mortality. AIM: To study incidence, risk factors, etiopathogenesis, clinical...
PYLE’S DISEASE
PRESENTATION OF CASE A 10 years old girl presented to us with chief complaint of increasing broadening of upper ends of both legs. There was no other complaint except that she has not lost her milk teeth completely. No p...