Lateral Frame
- Discussion:
- may position frame laterally if its cross bars are made of carbon (radiolucent);
- disadvantage: relatively weak stabilization in AP plane;
- if two pins are used at metaparpal level, 6 cortices are obtained by
distal pin capturing two cortices & more proximal pin capturing two
cortices of second & two cortices of third metacarpal at base;
- self tapping threaded half pins thru bases of index & middle metacarpals
& proximal shaft of index metacarpal alone, for a total pin purchase
of six cortices;
- Complications:
- damage to the 2nd interosseous space, w/ intrinsic compartment damage
causing secondary scarring and contracture;
Original Text by Clifford R. Wheeless, III, MD.
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