Syringe needle-cap use as novel, static, uni-planar or bi-planar, mini-external fixator for treatment of intra-condylar phalangeal fractures

Authors

  • Vijay Kumar Pandey Department of Plastic Surgery Command Hospital Western Command, Chandimandir, Panchkula, Haryana, India
  • Rakesh Kaundal Department of Plastic Surgery Command Hospital Western Command, Chandimandir, Panchkula, Haryana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20222233

Keywords:

Syringe needle-cap, Intra-condylar comminuted unstable fractures, Kirschner’s wire

Abstract

Background: Comminuted intra-articular phalanx fractures are complicated injuries often treated with external fixation. Syringe needle- cap can be an excellent mini-external fixators because they are radiolucent, readily available, inexpensive, simple, safe and easy to use. Our cases received a novel treatment in the form a syringe needle-cap/mini external fixator that was originally placed in static mode for 3 weeks and then later removed in OPD visit to a dynamic-mode of ROM to allow rehabilitation of the PIPJ/DIPJ. Our cases illustrates the power and utility of this ‘static’ uniplanar or biplanar stable technique to treat intra-condylar phalanx  fractures and achieved good functional recovery of finger.

Methods: This was a prospective case study covering period from January 2021 to May 2022 at department of plastic surgery, Command Hospital, Chandimandir, Panchkula, Haryana, India. 10 young male patients were presented with intra-articular fractures of phalanx. All patients had undergone pre-operative and post procedure X-rays for evaluation. A static external fixator consisting of a uniplanar or biplanar 2 ml syringe needle-cap and 0.8mm small size (3-4 cm) Kirschner wires as an optimal fixator across the fractured joint. K-wires were removed in OPD visit after 3 weeks to dynamize the ROM of affected joint of finger post-operatively.

Results: 10 male patients were studied with average age of 28 years. 06 of them are intra-condylar fractures at PIP joints and rest are intra-articular fractures. After 3 weeks, we removed this fixator device and started controlled physiotherapy. End results notified in our study were achievement of good functional recovery of finger ROM at 3 months follow up.

Conclusions: Syringe needle-cap use as mini-external fixation should be considered as a novel tool in the treatment of comminuted intra-articular phalangeal fracture.

Author Biography

Vijay Kumar Pandey, Department of Plastic Surgery Command Hospital Western Command, Chandimandir, Panchkula, Haryana, India

Asoociate Professor 

Dept of Plastic Surgery 

Command Hospital Western Command 

Chandimandir cantt 

Panchkula , Haryana 134107

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Published

2022-08-26

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Original Research Articles