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Subservient Bone Reduction with Histoacryl$^{(R)}$ (N-butyl-2-cyanoacrylate) in Hand Fractures: Two Cases of Report  

Lee, Won (Department of Plastic & Reconstructive Surgery, College of Medicine, Dankook University)
Lee, Sung-Hwan (Department of Plastic & Reconstructive Surgery, College of Medicine, Dankook University)
Oh, Sang-A (Department of Plastic & Reconstructive Surgery, College of Medicine, Dankook University)
Kang, Dong-Hee (Department of Plastic & Reconstructive Surgery, College of Medicine, Dankook University)
Publication Information
Archives of Plastic Surgery / v.38, no.1, 2011 , pp. 102-104 More about this Journal
Abstract
Purpose: The standard treatments of hand fractures today are fixations by K -wires, metal plates, wires and lag screws. But it is very difficult to reconstruct fractures by placing implants into small bony fragments especially in the comminuted fractures and intra-articular fractures. This paper describes a simple method of reconstruction with Histoacryl$^{(R)}$ for comminuted and intra-articular fractures in hands. Methods: 2 cases with comminuted and intra-articular fractures by crushing injury were reconstructed with Histoacryl$^{(R)}$. We performed applying Histoacryl$^{(R)}$ with swab on the bone cortex carefully to avoid Histoacryl$^{(R)}$ infiltrating into the medulla. We could rearrange and fixate bony fragments using only Histoacryl$^{(R)}$, in addition, metal plates, K-wires, wires, and lag screws could be used for secondary fixation if needed. Results: Post-operative X-ray finding of 2 patients assured that the bony fragments of the hand fractures maintained their original positions. Significant displacement and deviation, infection, nonunion, and malunion during the follow-up period were not observed. Conclusion: This study showed the possibility of using Histoacryl$^{(R)}$ in addition as a simple method of fixation in the comminuted and intra-articular hand fractures.
Keywords
Histoacryl$^{(R)}$; N-butyl-2-cyanoacrylate;
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