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A-0258 Comparison of clinical results between low-profile plating and external fixation for fracture-dislocations of the proximal interphalangeal joint
Atsuhiko Murayama 1, Kentaro Watanabe 1, Hideyuki Ota 1, Yuki Fujihara 1, 1 Department of Orthopaedic Surgery Rheumatology, Nagoya Ekisaikai Hospital, Nagoya, Japan.
Friday, June 15, 2018 · 12:23 p.m. · 05m 14s
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00:00:02
jen and how it's a two way i'd like to talk about the
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treatments for those are proctor dislocations of the p. i. b. joints
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unstable p. h. m. o.'s of up to this location is one
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of the most difficult fractures for and so just to treat
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we have various treatment options but there's no boston
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the purpose of this study is to compare and evaluate the post operated outcomes
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or to or are or are you have for us that will create the joint was our project is location of phone in our hospital
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the patients were those who underwent or are you have a p.
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h. angles or frosted is location within the past ten years
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the inclusion criteria were too hot depressed bone fragments at the base of middle francs
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ah stable fractures exceeding forty percent of the drawing stuff
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is and to be under observation for three mental
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exclusion criteria are as follows
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a study one cases fulfilled the conditions and we divide them into two groups
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we assign twelve patients who underwent that we're operating missile and
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the nineteen patients who underwent the dynamic extended fixation that's
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the patient demographics between the two groups it not the for significant
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the primary outcome worst yep to motion ranger p. a. p. and the
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a. p. joints and final followup secondary outcomes were as shown below
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this shows yeah yeah this shows the apt emotion ranger p. l. p. joint
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what operating yeah messer tended to have better joint motion ranges but there was no significant difference
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as for the l. p. joint efforts and have no
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significant difference however extension versus their point for the
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reason we're operating and my three point nine degrees
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mixed on a fixation showing a significant difference
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you can see secondary outcomes on this line
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bone healing words obtain whole the case it's there was no significant difference in the bone healing bridget
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size everytime rehabilitation periods uh and trainings work in
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groups trying as racial between the two groups
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on the other hand in the post operative interpretation periods a bore operating worse in this condition
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that we're operating mess otherwise we put it by a u. k. there
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in two thousand six the surgical technique is shown on this slide
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first we expose it is read to you by brunei incision and read you directly they fifty b.
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if the if the s. words inside long to do not lead to expose the fracture
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them reading study that's more than later from the structure site and
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interest legally fifty that depressed the bone fragment and reposition it
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finally we use the low profile prayed to fix that bone fragments after temporary can
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the other part is all this mess with the that it can fix that middle front
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whatever happened to the batteries and a pro small screw suppose that some comparable
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and and in other words of operating allows rigid fixation and also
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there is no provision okay wires and external fixation device
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on the other hand it can be difficult to fix in the cases of small middle
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funds fanciest where little fingers in addition to possible appearance of a debian fusion
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recently there have been some reports about that we're operating knesset
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outcomes were good and comparable to those in previous studies
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what are they has pointed out that a long post operating remote
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precision peel is one of the factors fall or outcomes
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in my opinion because what operating but uh provide is provided really easy to you
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yeah we have to motion beside was possible and resulted in the broader range of motion
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limitations of the study or that it's that aspect to the number of
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cases was small and a long time for lovers not possible
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recommended that were pretty missile for us the fresh p. l.
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p. joint bills or frosted dislocations in the following respect
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first yeah little programs in the post operative daily life because of no matter parts of a exposure
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and second rigid fixation about diary up to most on exercise and resulted in better range of motion
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