Functional outcome of fractures of the hand treated with Joshi’s external stabilization system

Abstract

Hand is a distinct organ both for powerful grasp in lifting heavy objects as well as delicate pinch and hook functions. Hand injury is extremely common. Fractures of metacarpals and phalanges are probably the most common fractures in the skeletal system. Some of the causes of hand injuries are crush/compression injuries, blunt trauma, fall, road traffic accidents, sports related activity and explosions/fire arm injuries Various modes of treatment have been used for hand fractures which include K wire fixation, mini plates, external fixator application. We have studied 20 patients with hand fracture treated with Joshi’s external stabilization system (JESS). The study is conducted by the Department of orthopaedics KIMS, Bangalore. Detailed history collected from all patients. Thorough examination and investigations done. X-Ray of hand (AP, and Oblique views). The surgery is performed under regional and local anesthesia patients called for follow up at 4,8, 12 and 24 weeks JESS removal is done at 4-6 weeks depending on the status of fracture healing. In our study the functional outcome is based on the ASSH-TAF rating were predominantly good to excellent with 65% participants having excellent and 45% good outcome JESS is an effective alternative treatment for fractures of the hand. It is cheap and easily available. Technically, it is less demanding. It also reduces surgical trauma and protects the vascular integrity and has good-to-excellent functional outcome.