Comparison of Joshi's external stabilization system and Kirschner wire fixation technique for extra-articular metacarpal fractures
1 Associate Professor, Department of Orthopaedics, Dr Chandramma Dayananda Sagar institute of Medical Education & Research, Deverakaggalahalli, Kanakapura Road, Ramanagara Dt, Karnataka, India.
2 Senior Resident, Department of Orthopaedics, Dr Chandramma Dayananda Sagar institute of Medical Education & Research, Deverakaggalahalli, Kanakapura Road, Ramanagara Dt, Karnataka, India.
3 Assistant Professor, Department of Orthopaedics, Dr Chandramma Dayananda Sagar institute of Medical Education & Research, Deverakaggalahalli, Kanakapura Road, Ramanagara Dt, Karnataka, India.
Research Article
International Journal of Frontiers in Medicine and Surgery Research, 2023, 03(02), 074–080.
Article DOI: 10.53294/ijfmsr.2023.3.2.0077
Publication history:
Received on 28 June 2023; revised on 15 August 2023; accepted on 18 August 2023
Abstract:
Hand fractures, especially metacarpals and phalanges, account for 15% of emergency department admissions. Metacarpal fractures can be treated using various algorithms. Hand fractures have been treated with K wire fixation, micro plates, and external fixator application devices. A successful functional outcome requires surgical intervention with good fixation principles and a rigid system that allows early mobilization. JESS is a simple, lightweight fixation that can be used with splints or converted to dynamic mobilization units. In open fractures, JESS rigidly fixes bones. Compress, neutralize, or distract a fracture fragment to aggressively treat bone and soft tissue injuries. Moving the proximal and distal joints instantly reduces edema, capsular fibrosis, joint stiffness, and muscle atrophy. Kirschner wires are the easiest, cheapest, and most versatile hand injury treatment. They can be percutaneously introduced. It allows early movements without surgical stress This study compares intramedullary Kirschner wires and Joshi’s external fixator device for unstable extra-articular metacarpal fractures.
Keywords:
Metacarpal fractures; Dynamic mobilization; Hand injury; JESS
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0