External fixator for the hand: a quick, cheap and effective method.

Abstract

The value of external fixation in certain hand injuries is well established. It particularly has a place with highly comminuted fractures not well managed by internal fixation. Expense and availability of formal mini external fixator sets have resulted in differing methods being employed. An "alternative" external fixator is presented comprising the disposable sheath of an i.v. cannula as the cross bar, held by K-wires as the pins. Such basic raw materials are available immediately in all theatres at minimal cost. This has been used in gun shot wounds with highly comminuted fractures. A preliminary study with eight patients is presented. The method is inexpensive, simple to use, and quick to apply. Good bone union and length is achieved. Stability is excellent, allowing early motion. This method can be recommended when no standard fixator sets are available to the surgeon.