Dynamic Distraction External Fixation for Contracture of the Metacarpophalangeal Joint.
Metacarpophalangeal (MP) joint contractures are common after traumatic injury, and can be difficult to manage. After surgical capsulectomy, it remains challenging to maintain motion that was obtained at the time of surgery. Our group uses a novel, prefabricated digital external fixator to provide both distraction, and motion therapy across the MP joint after surgical treatment of MP contracture. The purpose of this technique is to demonstrate the effectiveness of an adjunctive dynamic distraction external fixator for the maintenance of joint motion after surgical treatment of MP contractures of the border digits.
*Division of Hand Surgery, Rothman Institute, Philadelphia, PA †Department of Orthopaedics, Rutgers New Jersey Medical School, Division of Hand and Microvascular Surgery, Newark, NJ.
Daniel A
DA
Seigerman
Virak
V
Tan
D000328:Adult; D003286:Contracture / Q000175:diagnosis / Q000601:surgery*; D016267:External Fixators; D005260:Female; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery*; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000601:surgery*; D008875:Middle Aged; D019857:Osteogenesis, Distraction / Q000379:methods* / Q000534:rehabilitation; D016059:Range of Motion, Articular / Q000502:physiology*; D018570:Risk Assessment; D012494:Sampling Studies