Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument

Adequate positioning of the hand is a critical step in hand fracture operative repair that can impact both the clinical outcome and the efficiency of the operation. In this paper, we introduce the use of a thermoplastic splint with an added thumb stabilizing component as a means to increase the surg...

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Bibliographic Details
Published in:Archives of plastic surgery 2021, 48(4), , pp.384-388
Main Authors: Papavasiliou, Theodora, Park, Paul Dain, Tejero, Ricardo, Allain, Niklaas, Uppal, Lauren
Format: Article
Language:English
Subjects:
autonomy
efficiency
hand surgery
Hand/Peripheral Nerve
metacarpal fractures
thermoplastic splint
성형외과학
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Summary:Adequate positioning of the hand is a critical step in hand fracture operative repair that can impact both the clinical outcome and the efficiency of the operation. In this paper, we introduce the use of a thermoplastic splint with an added thumb stabilizing component as a means to increase the surgeon’s autonomy and to streamline the patient care pathway. The thermoplastic splint is custom fabricated preoperatively by the specialist hand therapist. The splint is used prior, during, and post operation with minimal modification. The thumb component assists maintaining the forearm in a stable pronated position whilst drilling and affixing metal work. This is demonstrated in the video of removal of metal work and open reduction and internal fixation of a metacarpal fracture.
ISSN:2234-6163
2234-6171
DOI:10.5999/aps.2021.00122