Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The human hand has evolved into an organ of exceptional prehensile function capable of highly complex movements and manipulation. Hand injury is extremely common and accounts for about 15% of the attendance at accidents and emergency departments. Fractures of metacarpals and phalanges are probably the most common fractures in the skeletal system. Joshi’s external stabilizing system (JESS) fixator based on the principle of ligamentotaxis, stabilize the unstable and intra articular fractures of metacarpal and phalanges and also provides an environment for rapid soft tissue healing without further damaging the micro vascular circulation. To study JESS fixator for metacarpal and phalangeal fractures and to clinically evaluate the results of the JESS fixator for metacarpal and phalangeal fractures. The present prospective study was conducted in Department of Orthopaedics, Vijayanagara Institute of Medical Sciences, Bellary from December 2020 to August 2022. This study comprises 30 patients of both sexes and all age groups with hand injuries i.e. close or open type were recruited to assess the role of all types of JESS frame in metacarpal and phalanges fractures. Among the 30 patients, majority of cases, 36.7% belongs to the age group of 31‐40 years. The mean age of the patients was 35.33 years. 86.7% were males. 60.0% had sustained right hand injury, Metacarpal bones were involved in 46.7% of patients, 46.7% of cases had transverse fracture pattern and around 60.0% had closed fractures. The functional outcome assessed by Duncan score was excellent in 15 patients, good in 11 patients and 4 had a fair result. JESS fixator is cheap, easily available and less technically demanding, provides with an effective treatment for the metacarpal and phalanges fracture, as it provides adequate stability that allows early rehabilitation with soft tissue care and has got a good functional outcome.
How to cite this article:
Santosh , N. Srinivas and S. Mahesh Patil. Prospective Study of Surgical Outcome of Metacarpal and Phalengel Fractures Treated With JESS Fixator.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.507.511
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.507.511