論文

査読有り 国際誌
2020年

Treatment of an intraarticular comminuted fracture of the base of the proximal phalanx in a ring finger using the Ichi-Fixator external fixator system: A case report.

International journal of surgery case reports
  • Akira Hara
  • ,
  • Minoru Yokoyama
  • ,
  • Satoshi Ichihara
  • ,
  • Yuichiro Maruyama

68
開始ページ
12
終了ページ
17
記述言語
英語
掲載種別
DOI
10.1016/j.ijscr.2020.02.020

INTRODUCTION: Comminuted fractures involving the articular surface of the base of the proximal phalanx are relatively rare. We treated a patient with this type of fracture by open reduction and internal fixation with a locked-wire-type external fixator (Ichi-Fixator System). PRESENTATION OF CASE: A 45-year-old man was injured because his ring finger was kicked during a Futsal game. Radiographs and computed tomography revealed a comminuted intraarticular fracture of the proximal phalanx of this ring finger. We treated the fracture with open reduction and K-wires and external fixation. We removed the K-wire and external fixator 5 weeks postoperatively and initiated range of motion exercises. Five months postoperatively, his finger motion was fully recovered without restriction. DISCUSSION: Comminuted intraarticular fractures of the base of the proximal phalanx are usually treated with plating. Complications such as interference with excursion of the central slip and lateral bands, extensor tendon rupture, and plate prominence have been reported in these fractures. In our patient, the Ichi-Fixator System was useful as a distraction apparatus for metacarpophalangeal joint fixation. CONCLUSION: A comminuted intra-articular fracture of the base of the proximal phalanx was treated successfully using the Ichi-Fixator system.

リンク情報
DOI
https://doi.org/10.1016/j.ijscr.2020.02.020
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32109766
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044468
ID情報
  • DOI : 10.1016/j.ijscr.2020.02.020
  • PubMed ID : 32109766
  • PubMed Central 記事ID : PMC7044468

エクスポート
BibTeX RIS