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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2019; 47(02): 077-083
DOI: 10.1055/s-0039-1698790
Original Article | Artículo Original
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Manejo de la fractura-luxación Interfalángica proximal mediante fijador externo tipo Suzuki. Protocolo de tratamiento y resultados preliminares

Proximal Interphalangeal Fracture-Dislocation Management by External Fixator Type Suzuki. Treatment Protocol and Preliminary Outcomes
Rafael Laredo Rivero
1   Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario de Toledo, Toledo, Spain
2   Unidad de Cirugía de Mano, Hospital Quiron Toledo, Spain
,
Bárbara Maria Pérez Fabra
1   Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario de Toledo, Toledo, Spain
,
Victor Delgado Alcalá
1   Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario de Toledo, Toledo, Spain
,
Roberto Cibantos Martínez
1   Servicio de Cirugía Ortopédica y Traumatología, Complejo Hospitalario de Toledo, Toledo, Spain
,
David Gomez Garrido
3   Servicio de Cirugía Ortopédica y Traumatología, Hospital General de Villalba, Madrid, Spain
,
Javier Cervera Irima
3   Servicio de Cirugía Ortopédica y Traumatología, Hospital General de Villalba, Madrid, Spain
› Author Affiliations
Further Information

Publication History

09 March 2019

21 August 2019

Publication Date:
05 November 2019 (online)

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Resumen

Introducción La fractura-luxación de la articulación interfalángica proximal de la mano es frecuente en la práctica clínica, sin embargo, no existe un consenso ni indicaciones definidas para cada tipo de fractura, lo que supone un importante campo de confusión y su tratamiento continúa siendo hoy en día un reto no resuelto. Nos preguntamos si es posible simplificar este algoritmo y utilizar el fijador tipo Suzuki de forma protocolizada para manejar la gran mayoría de lesiones con indicación quirúrgica.

Métodos Se recogieron 15 pacientes con patrones de fractura de tipo 1 (66,6%), tipo 2 (6,6%), tipo 3 (20%) y tipo 5 (6,6%) según la clasificación de Seno entre 2011 y 2019 operados mediante esa técnica y evaluamos sus resultados clínicos y funcionales.

Resultados La media de rango articular metacarpofalángico fue de 97°/-3°, interfalángico proximal de 93°/3° e interfalángico distal de 82°/1°. El EVA medio fue de 2 y el Quick DASH de 13.

Conclusiones Los resultados obtenidos son comparables con el resto de las técnicas quirúrgicas sin aumento de las complicaciones, lo que nos plantea la posibilidad de comenzar un estudio prospectivo con una sola técnica para tratar la mayoría de los patrones de fractura.

Abstract

Introduction Although proximal interphalangeal joint fracture dislocations are common in clinical practice, there is no consensus in their management nor specific indications for each kind of fracture. We wondered if it was possible to simplify this algorithm and treat the great majority of this injuries with surgical indication with the Suzuki external fixator in a protocolized way.

Methods We collected 15 patients with fracture patterns type 1 (66.6%), type 2 (6.6%), type 3 (20%) and type 5 (6.6%) according to Seno classification between 2011 and 2019 who underwent this procedure and they were evaluated about clinical and functional results.

Results The average range of movement in the injured finger was 97°/ -3° at the metacarpophalangeal joint, 93°/3° at the proximal interphalangeal joint and 82°/1° at the distal interphalangeal joint. The mean VAS value was 2 and the mean Quick DASH score was 13.

Conclusion The results obtained are comparable to the results of other surgical techniques without increasing complications. We consider the possibility of starting a prospective study with this single technique to treat most of these fracture patterns.

Palabras clave

articulación interfalángica proximal - fractura – luxación - fijador externo dinámico

Keywords

proximal interphalangeal joint - fracture-dislocation - dynamic external fixator
 

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