title: A new technique for closed management of displaced intra-articular fractures of metacarpal and phalangeal head delayed on presentation: report of eight cases.
abstract: We present the outcomes of the delayed management of eight displaced intra-articular fractures of the metacarpal and phalangeal heads treated with capsuloligamentotaxis using the Penning mini-external fixator. Closed anatomical reduction with a 2 mm over-distraction was achieved at the time of operation at an average of 20 days after the initial injury. Excellent outcomes in terms of function and pain were obtained at 6 month's follow-up in all cases. This technique is simple, minimally invasive, and effective, with minimal complications.
authors: 1Braintree Community Hospital, Braintree, Essex, UK.
authors: S
authors: S
authors: Houshian
authors: S S
authors: SS
authors: Jing
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D005260:Female; D050278:Finger Phalanges / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods*; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D011859:Radiography; D013997:Time Factors; D055815:Young Adult
keywords: Metacarpal fracture; delayed; external fixator; intra-articular; ligamentotaxis; phalangeal