Journal of plastic surgery and hand surgery
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J Plast Surg Hand Surg · Nov 2010
Comparative StudySuzuki's pins and rubber traction for fractures of the base of the middle phalanx.
Basal fractures of the middle phalanx are uncommon, but difficult to treat. We have reviewed our first 20 patients using the Suzuki pins and rubber traction who were treated during an 8.5 year period (June 1998-December 2006) and 18 who were reviewed after 49 (range 17-116) months. All injuries were closed fractures of the base of the middle phalanx. ⋯ Median extension, flexion, and total range of movement of the PIP joint in 16 fingers were -9°, 83°, and 72°, respectively. Our results are no more than adequate. They might have been better if the force of traction had been less by using rubber bands instead of vessel loops, if postoperative follow-up had been more frequent allowing for correction of traction when necessary, and if traction had been discontinued earlier.
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J Plast Surg Hand Surg · Nov 2010
Case ReportsSimplified dorsal approach to fracture of the hamate hook with percutaneous fixation with screws.
We present a new method for treating a fracture of the hook of the hamate with a percutaneous screw using a dorsal approach. Through this small incision, the fracture may be fixed easily and safely while avoiding damage to the blood supply of the hamate and the surrounding soft tissue.