New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation

We developed a new fixation method that involves the insertion of two wires and external wire fixation using a metal clamp. The aim of this technique was to increase the stability and rigidity of conventional percutaneous Kirchner wire fixation. Here, we present a patient with dislocation of the fou...

Full description

Saved in:
Bibliographic Details
Main Authors: Satoshi Ichihara, Masao Suzuki, Akira Hara, Toshiya Kudo, Yuichiro Maruyama
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/8515781
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832546022437421056
author Satoshi Ichihara
Masao Suzuki
Akira Hara
Toshiya Kudo
Yuichiro Maruyama
author_facet Satoshi Ichihara
Masao Suzuki
Akira Hara
Toshiya Kudo
Yuichiro Maruyama
author_sort Satoshi Ichihara
collection DOAJ
description We developed a new fixation method that involves the insertion of two wires and external wire fixation using a metal clamp. The aim of this technique was to increase the stability and rigidity of conventional percutaneous Kirchner wire fixation. Here, we present a patient with dislocation of the fourth and fifth carpometacarpal joints who was satisfactorily treated with closed reduction and percutaneous fixation with a linking external wire fixator (Ichi-Fixator). Operative treatment using the Ichi-Fixator system facilitates anatomical reduction and immediate full mobilization, resulting in good outcomes. The patient could perform all routine activities with normal grip strength and a full range of hand motion without pain. Such a treatment that improves comfort after the operation and may allow an immediate return to work will clearly boost patient satisfaction. Linked external wire-type fixation enables enhanced security of fixation, facilitates postoperative mobilization, and may allow an immediate return to work.
format Article
id doaj-art-db2b69ce80a8494fb73b6811b4b14f3e
institution Kabale University
issn 2090-6749
2090-6757
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-db2b69ce80a8494fb73b6811b4b14f3e2025-02-03T07:24:07ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/85157818515781New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint DislocationSatoshi Ichihara0Masao Suzuki1Akira Hara2Toshiya Kudo3Yuichiro Maruyama4Hand Surgery Center, Juntendo University Urayasu Hospital, Chiba, JapanHand Surgery Center, Juntendo University Urayasu Hospital, Chiba, JapanHand Surgery Center, Juntendo University Urayasu Hospital, Chiba, JapanHand Surgery Center, Juntendo University Urayasu Hospital, Chiba, JapanDepartment of Orthopedic Surgery, Juntendo University Urayasu Hospital, Chiba, JapanWe developed a new fixation method that involves the insertion of two wires and external wire fixation using a metal clamp. The aim of this technique was to increase the stability and rigidity of conventional percutaneous Kirchner wire fixation. Here, we present a patient with dislocation of the fourth and fifth carpometacarpal joints who was satisfactorily treated with closed reduction and percutaneous fixation with a linking external wire fixator (Ichi-Fixator). Operative treatment using the Ichi-Fixator system facilitates anatomical reduction and immediate full mobilization, resulting in good outcomes. The patient could perform all routine activities with normal grip strength and a full range of hand motion without pain. Such a treatment that improves comfort after the operation and may allow an immediate return to work will clearly boost patient satisfaction. Linked external wire-type fixation enables enhanced security of fixation, facilitates postoperative mobilization, and may allow an immediate return to work.http://dx.doi.org/10.1155/2018/8515781
spellingShingle Satoshi Ichihara
Masao Suzuki
Akira Hara
Toshiya Kudo
Yuichiro Maruyama
New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation
Case Reports in Orthopedics
title New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation
title_full New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation
title_fullStr New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation
title_full_unstemmed New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation
title_short New Locked-Wire-Type External Fixator (the Ichi-Fixator) for Fourth and Fifth Carpometacarpal Joint Dislocation
title_sort new locked wire type external fixator the ichi fixator for fourth and fifth carpometacarpal joint dislocation
url http://dx.doi.org/10.1155/2018/8515781
work_keys_str_mv AT satoshiichihara newlockedwiretypeexternalfixatortheichifixatorforfourthandfifthcarpometacarpaljointdislocation
AT masaosuzuki newlockedwiretypeexternalfixatortheichifixatorforfourthandfifthcarpometacarpaljointdislocation
AT akirahara newlockedwiretypeexternalfixatortheichifixatorforfourthandfifthcarpometacarpaljointdislocation
AT toshiyakudo newlockedwiretypeexternalfixatortheichifixatorforfourthandfifthcarpometacarpaljointdislocation
AT yuichiromaruyama newlockedwiretypeexternalfixatortheichifixatorforfourthandfifthcarpometacarpaljointdislocation