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Tidke, Saurabh
- To Study Functional Outcome for Upper Limb Phalanx Fracture Treated by JESS Fixator
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Authors
Affiliations
1 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
1 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 298–305Abstract
Purpose: To study functional outcome for upper limb phalanx fracture treated by Joshi’s External Stabilizing System (JESS) fixator. Material and Methods: 68 patients were operated for Upper limb phalynx fracture in a tertiary health care setup with JESS fixator and were reviewed at 3 weeks, 6 weeks and 3months. After the procedure, the patients were assessed for the functional outcome using DASH (Disabilities or Arm, Shoulder and Hand) scoring scale. Results: Mean Adjusted DASH scores of the operated finger over consequent visits at 3 weeks, 6 weeks, and 3 months. We found that the mean adjusted DASH score improved in each consequent visit as compared to the first visit for all the joints (p<0.001). Out of the total 68 study participants, 63 had no complications (92.65%). Only 5 study participants had complications, out of which 2 each had joint stiffness (2.94%) and superficial pin track infection (2.94%) while 1 had pin loosening (1.47%). Conclusion: From the results, we can safely conclude that JESS is an effective alternative treatment for fractures of the phalanges. It is cheap and easily available. Technically, also it is less demanding. Also there is a good functional outcome as suggested by our study findings in terms of improvement in the range of motion as well as the mean adjusted DASH scores over a period of three follow up visits planned at 3 weeks, 6 weeks and 3 months with very few complications.Keywords
Dash Score, Joshi’s External Stabilizing System (JESS) Fixator, Phalanx Pinning, Upper Limb PhalanxFull Text
References
- Butala R, Garg A, Singh S, Garg P, Agarwal A, Gohain N, et al. JESS fixator for hand fractures: Our experience in 20 patients. J Evol Med Dent Sci., 2016; 5(34):1946-1949.
- https://doi.org/10.14260/jemds/2016/459.
- van Aaken J, Kämpfen S, Berli M, Fritschy D, Della Santa D, Fusetti C. Outcome of boxer’s fractures treated by a soft wrap and buddy taping: A prospective study. Hand, 2007; 2(4):212-217. https://doi.org/10.1007/s11552-007-9054-2.
- PMid:18780055 PMCid:PMC2527222.
- de Jonge JJ, Kingma J, van der Lei B, Klasen HJ. Fractures of the metacarpals. A retrospective analysis of incidence and aetiology and a review of the English-language literature.
- Injury, 1994; 25(6):365-369. https://doi.org/10.1016/00201383(94)90127-9.
- Dean BJF, Little C. Fractures of the metacarpals and phalanges. Orthop Trauma, 2011; 25(1):43-56. https://doi.
- org/10.1016/j.mporth.2010.10.008.
- Crockett DJ. Rigid fixation of bones of the hand using K wires bonded with acrylic resin. Hand, 1974; 6(1):106-107.
- https://doi.org/10.1016/0072-968X(74)90022-9.
- Cziffer E. Static fixation of finger fractures. Hand Clinics, 1993; 9:639-650. https://doi.org/10.1016/S07490712(21)01014-3.
- Fitoussi F, Ip WY, Chow SP. External fixation for comminuted phalangeal fractures: A biomechanical cadaver study. J Hand Surg Eur., 1996; 21(6):760-764. https://doi.
- org/10.1016/S0266-7681(96)80182-3.
- Van Onselen EBH, Karim RB, Hage J, Ritt MJPF. Prevalence and distribution of hand fractures. J Hand Surg Am., 2003; 28B(5):491-495. https://doi.org/10.1016/S02667681(03)00103-7.
- Carpenter S, Rohde RS. Treatment of phalangeal fractures, Hand Clinics, 2013; 29:519-534. https://doi.org/10.1016/j.
- hcl.2013.08.006. PMid:24209951.
- Naidu DKD. Management of metacarpal and phalangeal fractures with JESS fixator: A prospective study. Int J Orthop Sci., 2018; 4(1f):383-387. https://doi.org/10.22271/ ortho.2018.v4.i1f.55.
- Drenth DJ, Klasen HJ. External fixation for phalangeal and metacarpal fractures. J Bone Jt Surg - Ser B., 1998; 80(2):227230. https://doi.org/10.1302/0301-620X.80B2.0800227.
- Ashmead IV D, Rothkopf DM, Walton RL, Jupiter JB.
- Treatment of hand injuries by external fixation. J Hand Surg Am., 1992; 17(5):956-964. https://doi.org/10.1016/03635023(92)90477-7.
- Halliwell PJ. The use of external fixators for finger injuries.
- J Bone Jt Surg - Ser B, 1998; 80(6):1020-1023. https://doi.
- org/10.1302/0301-620X.80B6.0801020.
- Hsu LP, Schwartz EG, Kalainov DM, Chen F, Makowiec RL.
- Complications of K-wire fixation in procedures involving the hand and wrist. J Hand Surg Am., 2011; 36(4):610-616.
- https://doi.org/10.1016/j.jhsa.2011.01.023. PMid:21463725.