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A novel inexpensive technique to immobilize open hand injuries in a functional position using a premolded light weight external fixator

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Author: 
Dr. Vaibhav Aterkar, Dr. Umang Sanghvi and Dr. Kailash Sethi
Abstract: 

Hand trauma is quite frequent and coupled with a loss of function, can have an impact on almost all activities. Prolonged disability is an inherent consequence of such injuries, if they are not treated meticulously. Apt surgical intervention plays an important role in the final functional outcome. Here we have made a custom made on-table molded external fixator frame to match the patient’s functional position of wrist and hand, and cite its advantage over the conventional splint/cast application for immobilization. Smaller joints have the propensity to get stiff earlier than the larger ones. Here is where our concept of differential unloading of the fixator comes into vogue. This fractional dynamisation of our apparatus gives an opportunity to mobilize the fingers at an early period.

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