The use of an external distraction fixation apparatus in severe compound contaminated injuries of the hand with avulsed segments of metacarpals is described. The method has the advantages of stabilizing bony fragments, maintaining hand length and allowing early access for dressings until reconstruction with a bone graft can be undertaken.
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References
1.
DICKSONR. A. (1975) Rigid Fixation of Unstable Metacarpal Fractures Using Transverse K-Wires Bonded with Acrylic Resin.The Hand, 7: 284–286.
2.
KESSLERI., BARUCHA., and HECHTO. (1977) Experience with distraction lengthening of digital rays in congenital anomalies.The Journal of Hand Surgery, 2: 394–401.
