External Fixation of the Fracture and the Osteotomy with Percutaneous Pins and Resin (Methylmetaacrylate)

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Good results were obtained in osteotomy or treating fractures by using Resin (Methylmetaacrylate) as the external fixation. In spite of simpler technique compared with the usual methods, sufficient strength of fixation was recognized in our method.Twelve cases (congenital dislocation of the hip; 6, supracondylar fracture of the humerus; 3, osteotomy for varus deformity of the elbow; 1, malunited fracture of the forearm; 1, fracture of the jaw bone; 1) were treated by this method.In subtrochanteric osteotomy four Knowles pins were inserted into the femur and linear osteotomy was made with two pins in the proximal portion and remaining two in the distal one. After closing the wound adequate position of the osteotomised site or good adaptability of the hip joint were obtained in all dimensions under the fluoroscopy, and external fixation with Resin was done immediately. The authors stress that this is the advantage of the method.In the treatment of the supracondylar fracture of the humerus a Kirschner wire was inserted into the proximal fragment and another one into the distal fragment. Adding the traction force by applying traction apparatus to the distal Kirschner wire, the displacement was corrected, and then the two wires were fixed with Resion on the both radial and ulnar sides. As no splint is applied varus or valgus deformity of the elbow and circulatory disturbance can be checked easily under the direct vision.The method seems to have a good place in subtrochanteric osteotomy or treating certain fractures in children or young adults.
西日本整形・災害外科学会の論文

External Fixation of the Fracture and the Osteotomy with Percutaneous Pins and Resin (Methylmetaacrylate)

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