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Treatment of hand injuries by external fixation.

Thirty-five consecutive applications of external fixation to the hand, including 27 acute cases and 8 reconstructive procedures, were studied. In both settings, external fixation was used not only for skeletal stabilization but also for management of the soft tissues. Twenty of the 22 acute fractures healed, and six arthrodeses with interposition bone grafts resulted in fusion. Three septic nonunions resolved, and two united successfully. There were no complications. We recommend external fixation systems in the hand, and several case reports are included in the study to illustrate the various applications.

Adolescent↗

[Surgery of infected hand injuries in Bács-Kiskun County].

The therapy of the diseases of the infected hand belongs to the most difficult tasks of the hand surgery. In the county Bács-Kiskun we have reached important results during the last two decades, described in this paper, together with the Hand Surgery Work Groups of the Accident Departments of Kecskemét (County Hospital), Baja and Kiskunhalas.

Accidents, Home↗

[Use of a rod apparatus for external fixation in the treatment of hand injuries].

The authors describe an external fixation rod apparatus and the results of its application in 28 patients with various injuries. The apparatus was used in the patients with fractures of phalanges of the fingers and metacarpal bones for extra-articular fixation after the elimination of contractures and dislocations in the joints, in cases of combined epidermatoplasty, arthrodesis, etc. The method of treatment had to be changed only in 2 patients. In all other cases the effect of the rod apparatus was positive.

Arthrodesis↗