Article
Palmar oblique ligamentodesis for articular rescue in Bennet’s fractures (P.O.L.A.R Technique)
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Authors
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Carlos Torres
- Hospital de San José, Eciplast, Bogotá, Colombia
| Published: | February 6, 2020 |
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Outline
Text
Objectives/Interrogation: Describe the new technique "POLAR" for its acronym in English "Palmar oblique ligamentodesis for articular rescue" for the treatment of Bennet,s fractures with small fragment, less than 1/6 of the articular surface (type 2A in the classification of the author), and its clinical application.
Methods: The technique described by the author is explained, and a series of 10 cases is presented, which present Bennet fractures, with joint involvement less than 1/6. with an age range of 25-42 years, injury time of 2-5 weeks. In these patients, the osseous fragment is removed and a bone anchor inserted to reattach the oblique palmar ligament at the base of the thumb, allowing early rehabilitation and functional recovery, with good articular stability.
Results and Conclusions: 10 patients were treated with this technique, 8 with bone anchors and 2 with intraosseus suture,followed by an early rehabilitation protocol. A minimum follow-up of 6 months and a maximum of 2 years was performed,
Grip and index-thumb pinch dynamometry was on average 85% compared to the healthy side, without the presence of instability or pain, with minimal restriction in the Arcs of movement with respect to the non injuried side, all patients returned to work without limitation.
(Another study was conducted to complement this paper, performing finite element tests with computer simulations, presented in another abstract)
