Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Poster Topic: Trauma - Hand/Wrist Abstract number: 23493 NECK FRACTURES OF THE FIFTH METACARPAL BONE : LOCKING PLATES OR INTRAMEDULLARY K-WIRES? COMPARATIVE STUDY ABOUT 38 CASES Stéphanie GOUZOU, SYBILLE FACCA, Reeta RAMDHIAN, Monica DIACONU, Philippe LIVERNEAUX HAND DEPARTMENT - STRASBOURG UNIVERSITY, ILLKIRCH (FRANCE) The fracture of the fifth metacarpal bone is a commun injury. Surgical treatment is indicated when the volar displacement is superior than 45°. Non-locking plates have the most clinical complications. Is the new system of locking plates better than intramedullary K-wires? The aim of this study was to compare the results of locking plates and of the intramedullary K-wires. We reviewed 38 cases: 18 treated by locking plates (group 1) and 20 treated by intramedullary K-wires (group 2).The results were analyzed according to criteria: pain level, DASH, grip strength, joint range of motion, return to work and radiographs. There were no significant differences between the two groups, for pain level, DASH, grip strength, return to work and displacement. However we found a significant difference for range of motion, with better results for K-wires. The fifth metacarpo-phalangeal joint flexion scored 59% in group 1 and 98% in group 2 compared with the controlateral hand, and joint extension achieved 89% in group 1 and 99% in group 2. In group 1, we noticed 6 complications (3 stiffness, 1 head necrosis, 2 delayed fractures unions). In group 2, there were 7 complications (3 pin migrations, 3 neurological lesions, 1 non aesthetic callus) . At the last follow up, patients treated with locking plates and no immobilization had more stiffness of the fifth metacarpo-phalangeal joint, than patients treated with intramedullary K-wires and immobilization during six weeks. Treatment with intramedullarry K-wires seems to be the reference treatment for displaced neck fractures of fifth metacarpal bone. 538
Poster Topic: Trauma - Hand/Wrist Abstract number: 23495 FIFTEEN CASES OF COMPLEX PROXIMAL INTERPHALANGEAL JOINT FRACTURES TREATED WITH A NEW AND USEFUL DYNAMIC EXTERNAL FIXATOR WITH DISTRACTION SYBILLE GOUZOU, SYBILLE FACCA, Monica DIACONU, Philippe LIVERNEAUX HAND DEPARTMENT - STRASBOURG UNIVERSITY, illkirch (FRANCE) The management of complex proximal interphalangeal joint fractures of the fingers is difficult. Dynamic traction splinting systems are cumbersome and the Suzuki fixator does not prevent secondary fracture displacement. Fifteen cases were treated with a new dynamic external fixator with distraction, Ligamentotaxor®. In two cases, additional fixation was required with screws. After 10 months, grip strength scored 85.7% compared with the contralateral hand, flexion achieved 76.3° and the extension deficit was 19.6°. The VAS pain level was 1.9 and the Quick DASH score totalled 16.9. Revision treatment was needed for sepsis for one patient. A case of secondary fracture displacement was corrected in the outpatient clinic. Consolidation was achieved in every case. In conclusion, despite not altogether perfect outcomes for these complex fractures, we find that Ligamentotaxor® is a useful technique. 539
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Poster<br />
Topic: Trauma - Hand/Wrist<br />
Abstract number: 23495<br />
FIFTEEN CASES OF COMPLEX PROXIMAL INTERPHALANGEAL JOINT<br />
FRACTURES TREATED WITH A NEW AND USEFUL DYNAMIC EXTERNAL<br />
FIXATOR WITH DISTRACTION<br />
SYBILLE GOUZOU, SYBILLE FACCA, Monica DIACONU, Philippe LIVERNEAUX<br />
HAND DEPARTMENT - STRASBOURG UNIVERSITY, illkirch (FRANCE)<br />
The management of complex proximal interphalangeal joint fractures of the fingers is<br />
difficult. Dynamic traction splinting systems are cumbersome and the Suzuki fixator<br />
does not prevent secondary fracture displacement. Fifteen cases were treated with a<br />
new dynamic external fixator with distraction, Ligamentotaxor®. In two cases,<br />
additional fixation was required with screws. After 10 months, grip strength scored<br />
85.7% compared with the contralateral hand, flexion achieved 76.3° and the<br />
extension deficit was 19.6°. The VAS pain level was 1.9 and the Quick DASH score<br />
totalled 16.9. Revision treatment was needed for sepsis for one patient. A case of<br />
secondary fracture displacement was corrected in the outpatient clinic. Consolidation<br />
was achieved in every case. In conclusion, despite not altogether perfect<br />
outcomes for these complex fractures, we find that Ligamentotaxor® is a useful<br />
technique.<br />
539
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