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Ahangar, Parviz, Shahrezaee, Mostafa, kamrani, Reza, Hesari, Shamim, Banihashemian, Seyed Shahabeddin, Alimohammadzadeh Taher, Soosan. (1404). A Novel Mini External Fixation Technique versus Percutaneous Pinning in the Treatment of Phalanx Fracture in Hand. , 13(7), 414-419. doi: 10.22038/abjs.2024.74859.3484
Parviz Ahangar; Mostafa Shahrezaee; Reza Shahryar kamrani; Shamim Fattah Hesari; Seyed Shahabeddin Banihashemian; Soosan Alimohammadzadeh Taher. "A Novel Mini External Fixation Technique versus Percutaneous Pinning in the Treatment of Phalanx Fracture in Hand". , 13, 7, 1404, 414-419. doi: 10.22038/abjs.2024.74859.3484
Ahangar, Parviz, Shahrezaee, Mostafa, kamrani, Reza, Hesari, Shamim, Banihashemian, Seyed Shahabeddin, Alimohammadzadeh Taher, Soosan. (1404). 'A Novel Mini External Fixation Technique versus Percutaneous Pinning in the Treatment of Phalanx Fracture in Hand', , 13(7), pp. 414-419. doi: 10.22038/abjs.2024.74859.3484
Ahangar, Parviz, Shahrezaee, Mostafa, kamrani, Reza, Hesari, Shamim, Banihashemian, Seyed Shahabeddin, Alimohammadzadeh Taher, Soosan. A Novel Mini External Fixation Technique versus Percutaneous Pinning in the Treatment of Phalanx Fracture in Hand. , 1404; 13(7): 414-419. doi: 10.22038/abjs.2024.74859.3484

A Novel Mini External Fixation Technique versus Percutaneous Pinning in the Treatment of Phalanx Fracture in Hand

The Archives of Bone and Joint Surgery
مقاله 4، دوره 13، شماره 7، مهر 2025، صفحه 414-419    اصل مقاله (774.26 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.74859.3484
نویسندگان
Parviz Ahangar1؛ Mostafa Shahrezaee2؛ Reza Shahryar kamrani3؛ Shamim Fattah Hesari2؛ Seyed Shahabeddin Banihashemian4؛ Soosan Alimohammadzadeh Taher* 1
1Department of Orthopaedic and Trauma Surgery, Imam Reza Hospital, Aja University of Medical Sciences, Tehran, Iran
2Department of Orthopaedic and Trauma Surgery, Imam Reza Hospital, Aja University of Medical Sciences, Tehran, Iran
3Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
4Department of Rheumatology, Imam Reza Hospital, Aja University of Medical Sciences, Tehran, Iran
چکیده
Objectives: Hand fracture is one of the most common fractures in the skeletal system. The present 
study aimed to introduce a newly designed external fixator and assess the results of treatment of 
patients with unstable and complex fractures of the proximal and middle phalanges of the fingers with 
two treatment methods: "fixation with percutaneous pins (PCP) + splint" and "fixation with mini external 
fixator.
Methods: In this prospective cohort study, patients with acute unstable and complex fractures of the proximal and 
middle phalanges of the second to fifth fingers were treated with two treatment methods, including "fixation with PCP 
+ splint" and "the use of mini external fixator." At the final follow-up visit, union, pain, function, finger range of motion 
(ROM), and possible complications were considered.
Results: Among 52 patients included in the study, 33 cases were treated with a mini external fixator, and 19 patients 
underwent fixation with PCP and splint. All patients in both groups had a union, and none of them complained of 
pain during the final visit. Functional outcomes were good, and there was no statistically significant difference 
between the two groups. The mini external fixator group had a significantly greater finger ROM (P=0.012), with a 
lower number of physiotherapy sessions (P=0.018). Moreover, patients returned to work more promptly (P=0.012).
Conclusion: The treatment of unstable finger fractures with a mini external fixator had three advantages: the 
possibility of early initiation of finger movement and improvement of finger ROM, the need for fewer physical therapy 
sessions, and early return to work. It can be an effective treatment option for unstable and complex finger fractures.
 Level of evidence: II
کلیدواژه‌ها
Finger fractures؛ Hand injury؛ Mini external fixator؛ Pin fixation
مراجع
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