Kirschner-Wire Fixation for Postburn Flexion Contracture Deformity and Consequences on Articular Surface
| Autor: | Mustafa Gürhan Ulusoy, Turgut Ortak, Hülya Ortaparmak, Süreyya Boyacgil, Uğur Koçer, Mihriban Akyüz, Nezih Sungur, Ömer Şensöz |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Cartilage Articular Male medicine.medical_specialty Contracture Adolescent Immobilization Fixation (surgical) Finger Joint Hand strength Finger Injuries Deformity medicine Humans Kirschner wire Range of Motion Articular Child Flexion contracture Hand Strength business.industry Orthopedic Fixation Devices Surgery Plastic surgery Child Preschool Female medicine.symptom Burns Range of motion business Bone Wires |
| Zdroj: | Annals of Plastic Surgery. 56:128-132 |
| ISSN: | 0148-7043 |
| Popis: | Kirschner-wire (K-wire) fixation for 3-6 weeks is an approved method for stabilization of the fingers after the release of flexion contracture deformity. On the other hand, articular surface damage in small joints due to pin fixation is still a topic of debate. Reports claiming permanent joint destruction due to this procedure exist in the literature. To clarify this doubt, a prospective study was carried out in 72 patients with flexion contracture of the hand fingers. After the surgical release of the deformity, immobilization of the interphalangeal (IP) and metacarpophalangeal (MCP) joints was carried out with K-wire fixation for 3 weeks. Clinical evaluation of the patients was accomplished with total active motion (TAM), grip, and pinch force measurements, whereas magnetic resonance (MR) and radionuclide imaging were used as radiodiagnostic tools. Mean follow-up period of the patients was 32 months. Satisfactory results were obtained in terms of functional and esthetic aspects. Evaluation of the data derived from the clinical and radiologic measurements revealed no permanent articular surface damage. K-wire fixation was documented to be an invaluable therapeutic approach not only to prevent recurrence of the contracture deformity but also to stabilize the skin graft effectively. This technique was concluded to provide effective immobilization without permanent articular damage. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|