title: The use of minimally invasive fixation in fractures of the hand--the minifixator concept.
abstract: The minimally-invasive treatment of metacarpal and phalangeal fractures with a low profile external fixator is described. In most sites fixator pins are inserted percutaneously and closed reduction of the fracture is performed. Due to the special design bridging of adjacent joints in shaft, distal or proximal fractures is not necessary unless the fracture is intraarticular. The results of treatment are described. Advantages and disadvantages of a small external fixator in relation to conservative management and open reduction and internal fixation are discussed.
authors.affiliation: Department of Trauma Surgery, Hand and Reconstructive Surgery, St Vinzenz-Hospital, Merheimer Strasse 221-223, D-50733, Köln, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Pennig
authors.forename: T
authors.initials: T
authors.lastname: Gausepohl
authors.forename: K
authors.initials: K
authors.lastname: Mader
authors.forename: A
authors.initials: A
authors.lastname: Wulke
mesh_terms: D001858:Bone Nails; D016267:External Fixators; D005383:Finger Injuries / Q000601:surgery; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008488:Medical Illustration; D008663:Metacarpus / Q000293:injuries / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*