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Indian Journal of Orthopaedics Surgery


Comparison of external and internal fixation methods for the metacarpo phalangeal fractures


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Author Details: Rajkumar K, Mohammed Abdul Azeem

Volume : 2

Issue : 4

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 322

Article End Page : 325


Abstract

Introduction: The goals of treatment of hand fractures are restoration of length, correction of rotational deformity, if present, establishing adequate stability, proper soft tissue management, and early initiation of movement. Various methods are used for this purpose including internal fixation by ‘K’ wires and external fixation by JESS technique.
Material and Methods: Detailed radiological study was carried out, systemic and clinical examination was made and charted. Appropriate drugs were administered for the alleviation of the pain, shock and anxiety. The patients were divided into two groups, Group I who were treated with internal fixation and Group 2 were treated with JESS fixation.
Results: Out of the total 60 cases, internal fixation was done in about 44 cases and JESS being performed on 26 patients. Transverse and comminuted were the most common type of fractures, together accounting for about 50% of the cases. The outcome of the treatment was excellent in 50% of the cases among those who were treated with JESS, while less than 40% had excellent outcomes and many had poor outcomes among the patients treated by internal fixation.
Conclusion: In the compound fractures, the use of JESS method would be more useful in the repair of hand fractures.

Keywords: External fixation, Internal fixation, ‘k’ wires, JESS