BSSH Spring Meeting Abstracts

Abstract

Aim: To evaluate long-term outcomes of using Ligamentotaxor in treating complex fractures involving the PIP & D IP joints Methods: A retrospective study of all patients treated with Ligamentotaxor for unstable Intra-articular phalangeal fractures in our institution between 2009 and 2018. 29 patients were included and evaluated using both objective (range of motion, and regular X-rays) and subjective QuickDASH score for global function. Out of the 29 Patients, 68% were males and 7% were open injuries. Fractures were classified according to Pélissier’s classification based on the initial radiographs. The average time before surgery was 8–9 days. A gentle active motion was permitted on the day following surgery. Results: An average of 27.5 months (70-12) follow up; Radiological union was achieved in all patients at mean 33 days. The mean QuickDASH score was 8.7.85% of the patients had no limitation of their daily activities and 35 % experience pain on exertion. The mean flexion of the affected digit was 66 degrees and the mean extension deficit was six degrees. Neither secondary subluxation nor complex regional pain syndrome was reported in any of the cases. Only one case of superficial pin tract infection was reported and responded well to one week of oral antibiotics. Cold intolerance and persistent swelling were reported in four cases. Neither of the cases needed revision by fusion nor replacement. Conclusion: Ligamentotaxor is easy and quick to apply by surgeons and well tolerated by patients, and therefore this reliable technique could be relevant for the management of complex PIP and DIP joint fractures. The device allowed adequate fracture reduction, early mobilisation with minimal soft tissue complications.