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External immobilization of index finger collateral ligament injuries using an improvised frame Cover

External immobilization of index finger collateral ligament injuries using an improvised frame

Asian Biomedicine
Volume 9 (2015): Issue 3 (June 2015)
By: Nattawut Sastravaha,  Yutthana Khanasuk and  Worasun Taweewuthisub  
Open Access
|Jan 2017

Figures & Tables

Figure 1

A 20 mL polypropylene syringe was cut in a transverse fashion at the dorsal part and wedge volar part at the level of the PIPJ preserving a 5-mm hinge on both radial and ulnar sides.
A 20 mL polypropylene syringe was cut in a transverse fashion at the dorsal part and wedge volar part at the level of the PIPJ preserving a 5-mm hinge on both radial and ulnar sides.

Figure 2

The hinges allow flexion motion, but the radioulnar plane is stable.
The hinges allow flexion motion, but the radioulnar plane is stable.

Figure 3

A 32-year-old man with PIPJ fracture dislocation, after 3 weeks K-wire fixation and a repaired index RCL. The improvised mobile frames were applied for 4 weeks. He could flex and extend his PIPJ with radioulnar protection. The range of motion after treatment was 0-120° with good radioulnar stability.
A 32-year-old man with PIPJ fracture dislocation, after 3 weeks K-wire fixation and a repaired index RCL. The improvised mobile frames were applied for 4 weeks. He could flex and extend his PIPJ with radioulnar protection. The range of motion after treatment was 0-120° with good radioulnar stability.

Demographic data and outcomes after treatment with the improvised frames

CharacteristicsPatient APatient B
Age3257
Sexmalefemale
Sideleftleft
Mechanism of injuryOpen injury from motorcycle accidentOpen injury from work
Initial treatmentDirect repair of radial collateral ligament and K-wire fixationRepair of radial collateral ligament, central slip and K-wire fixation
Started time of using the frame3 weeks after injury2 weeks after injury
Overall time of using the frame4 weeks4 weeks
Useful life (days)
 1st frame89
 2nd frame77
 3rd frame88
 4th frame (end of treatment)54
Average lifetime7.68
(1st -3rd frame)
Stability of PIPJ00
Range of motion of PIP joint at last visit0-120°0-90°
ComplicationNo complication was observedNo complication was observed
DOI: https://doi.org/10.5372/1905-7415.0903.411 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
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Language: English
Page range: 409 - 413
Published on: Jan 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year
Keywords:
External immobilization,
index finger,
proximal interphalangeal joint
Related subjects:
Medicine,
Assistive professions, nursing,
Basic medical science,
Basic medical science, other,
Clinical medicine,
Clinical medicine, other

© 2017 Nattawut Sastravaha, Yutthana Khanasuk, Worasun Taweewuthisub, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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