Functional outcomes following the use of an inexpensive mini-external fixator device for phalangeal fractures

Abstract

s / International Journal of Surgery 10 (2012) S53–S109 S63 ABSTRACTS Conclusion: There were a variety of highly individualised specimens seen. It was not possible to conclude the definite reasons for failure but this study has certainly highlighted crucial points for future studies to address. 1125: FUNCTIONAL OUTCOMES FOLLOWING THE USE OF AN INEXPENSIVE MINI-EXTERNAL FIXATOR DEVICE FOR PHALANGEAL FRACTURES Suzanne Thomson, Lisa Ng, David Howarth, Max Coutinho, Sahan RannanEliya. Department of Burns and Plastic Surgery, Royal Victoria Infirmary, Newcastle Upon Tyne, UK Introduction: Complex phalangeal fractures are often stabilised using commercial external fixators, which are costly and require familiarity. Here we describe our positive experience using a simple fixator constructed using readily available materials. Methods: Patients who had phalangeal external fixation by a single operator, over a five year period were identified from theatre logbooks. Data was obtained retrospectively on aetiology, fracture configuration, operative details, complications and post-operative function using Total Active Movement (TAM) scores. Results: Outcome measurements were retrieved in 26 of 38 patients identified. Injuries were sustained through altercation (n1⁄46), crush (n1⁄47) or fall onto hand (n1⁄417). The majority affected the little finger (n1⁄415) and the proximal phalanx (n1⁄419) was most commonly fractured. One fracture was open. All achieved bone union. No secondary procedures were required. Complications occurred in 9: unexpected stiffness (n 1⁄4 1), unexpected swelling (n 1⁄4 4) and pin-site infection (n1⁄44). At four months the functional outcome was good (%TAM>80%) or excellent (%TAM 1⁄4 85%) in all patients with a mean TAM of 230o. Conclusion: This external fixator provides a reliable and cost-effective method of complex fracture fixation. The post-operative complications are acceptable and functional outcomes highly favourable when compared to other methods of phalangeal fracture fixation. 1138: TARGETED FOOT AND ANKLE INJECTION WITH ULTRASOUND GUIDANCE IN THE RADIOLOGY DEPARTMENT REDUCES THE NUMBER OF PATIENTS REQUIRING INJECTION IN THEATRE A.K. Saini, D.S. White, A. Carne, M. Solan. Royal Surrey County Hospital,