External fixation of the wrist.

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Abstract

[Indexed for MEDLINE] 12. J ISAKOS. 2024 Jun;9(3):482-489. doi: 10.1016/j.jisako.2024.03.003. Epub 2024 Mar 8. The internal joint stabilizer for elbow instability: current concepts. De Crescenzo A(1), Garofalo R(2), Pederzini LA(3), Celli A(4). Author information: (1)Ente Ecclesiastico Ospedale "F. Miulli", Department of Orthopaedic and Traumatology Surgery, Shoulder and Elbow Unit, Acquaviva delle Fonti, Bari, 70021, Italy. Electronic address: dr.angelodecrescenzo@gmail.com. (2)Ente Ecclesiastico Ospedale "F. Miulli", Department of Orthopaedic and Traumatology Surgery, Shoulder and Elbow Unit, Acquaviva delle Fonti, Bari, 70021, Italy. (3)Nuovo Ospedale di Sassuolo, Department of Orthopaedic, Traumatology and Arthroscopic Surgeries, Modena, 41049, Italy. (4)Hesperia Hospital, Department of Orthopaedic and Traumatology Surgery, Shoulder and Elbow Unit, Modena, 41125, Italy. The management of residual elbow instability is challenging in both acute and chronic injuries. Among the available devices, the hinged external fixator provides an additional joint stabilization while allowing an early motion, but it is clumsy and associated to high rate of pin track complications. To address these issues, an internal joint stabilizer (IJS) has been recently developed. An easier recreation of the axis of rotation coupled to the reduced lever arm of the hinge is the root of the consistent and satisfactory results thus far observed. In addition, the device is more comfortable for the patients being an internal stabilizer. Nonetheless, a second surgery for the device removal is necessary, of which the timing is still not standardized. This current concepts paper describes literature regarding outcomes of the IJS focusing on the rate of maintained radiographic joint reduction, the resultant range of motion, and the associated complication profile. Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jisako.2024.03.003