Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 24524
A PROSPECTIVE STUDY OF FRACTURE OF PHALANX & METACARPALS OF
THE HAND WITH EXTERNAL FIXATOR/HYBRID FIXATION AS A DAY CARE
MANAGEMENT
SHALIN MAHESHWARI, SAMAR KUMAR BISWAS
Dr. D. Y. Patil Medical College, jamnagar (INDIA)
Phalangeal fracture comprises 46% of the hand fractures. Conventionally these
fractures were treated by buddy strapping and splinting. The commonest
complications with this modes of treatment are stiff painful joints due to prolonged
immobilization at fracture sites. In our study of 60 patients depending upon type of
fracture whether intraarticular &/or extraarticular, with subluxation/ dislocation
external fixation or by hybrid fixation was done as a day care treatment under local
anaesthesia. Patients were encouraged to begin mobilization of the other joints of
hands from Day 1. Controlled supervised physiotherapy of the fracture site was
started soon after surgery with the fixator in place and after implant removal. During
this course the operated site was protected with splinting. We achieved early
rehabilitation and excellent improvement in ROM in over 90% cases, 95% fractures
united clinically and radiologically in our follow up of 6 months to 1 year.
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