gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Rotation correction plate in the hand – experience of 51 cases

Meeting Abstract

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  • presenting/speaker Martin Franz Langer - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Germany
  • Simon Oeckenpöhler - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany
  • Britta Wieskoetter - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Sektion Hand, Münster, Germany
  • Sarah Breiter - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1497

doi: 10.3205/19ifssh0130, urn:nbn:de:0183-19ifssh01308

Veröffentlicht: 6. Februar 2020

© 2020 Langer et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Fractures healed with torsional malunions have major functional impairments. The correction of these misalignments must be made very precisely in several levels, so that the fingers do not cross over or diverge.

Methods: Since 2005, we have been using the rotation correction plate (Synthes) for these corrections, but have also used the plate primarily for fractures without anatomical evidence of correct torsion (eg, in replantation).

The plate was inserted 51 times, 38 times for the correction osteotomy of the metacarpals and 13 times for the primary fracture supply.

Case presentation of illustrative cases and eye openers.

Results and Conclusions: For the correction osteotomy, a 90 ° transverse osteotomy is created. The plate can then be steplessly rotated by a total of 36 ° and corrected several times intraoperatively, which considerably simplifies the exact setting.

In debris fractures, the plate can be used by its angular stability as an internal fixator with fine adjustment options. For mid-range replacements, the position of the fingers can still be corrected when all fingers have received their osteosynthesis.

Complications: Only once after a correction osteotomy did a plate fracture occur. All other operations went without complications. Operation time was very short.

The Rotation Correction Plate is a plate that have to be in the Armamentarium.