The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe
Proximal phalanx fractures of the big toe involving angulation or dislocation of the articular surface require repositioning and fixation. We treated a patient with such a fracture using a novel wire-connected external fixator, the ICHI-FIXATOR® system. A 45-year-old male sustained an injury when sl...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-10-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644024000712 |
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| author | Yusuke Hattori Yuji Joyo Yohei Kawaguchi Sanshiro Yasuma Ryohei Kondo Soichiro Watanabe Yusuke Komoto Satoshi Okumura Takahiro Esaki Yuko Waguri-Nagaya |
| author_facet | Yusuke Hattori Yuji Joyo Yohei Kawaguchi Sanshiro Yasuma Ryohei Kondo Soichiro Watanabe Yusuke Komoto Satoshi Okumura Takahiro Esaki Yuko Waguri-Nagaya |
| author_sort | Yusuke Hattori |
| collection | DOAJ |
| description | Proximal phalanx fractures of the big toe involving angulation or dislocation of the articular surface require repositioning and fixation. We treated a patient with such a fracture using a novel wire-connected external fixator, the ICHI-FIXATOR® system. A 45-year-old male sustained an injury when slipping down the stairs and impacting his left big toe. Plain radiography and computed tomography revealed a proximal phalangeal fracture of the left big toe with dislocation of the articular surface and comminution. The surgical intervention was performed using 1.1-mm diameter C-wires and an external fixator. The patient regained ambulation and resumed work immediately after surgery. Four weeks postoperatively, all wires were removed on an outpatient basis. Eight months postoperatively, the patient experienced no pain during strenuous activities or exercises. This novel wire-connected external fixator provides reliable and secure fixation, facilitating a prompt return to normal daily activities. This technique may be an effective option for managing toe fractures. |
| format | Article |
| id | doaj-art-a3f3aa3e7eee41cfbf2e383662a2212d |
| institution | Kabale University |
| issn | 2352-6440 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-a3f3aa3e7eee41cfbf2e383662a2212d2025-08-20T03:46:58ZengElsevierTrauma Case Reports2352-64402024-10-015310104810.1016/j.tcr.2024.101048The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toeYusuke Hattori0Yuji Joyo1Yohei Kawaguchi2Sanshiro Yasuma3Ryohei Kondo4Soichiro Watanabe5Yusuke Komoto6Satoshi Okumura7Takahiro Esaki8Yuko Waguri-Nagaya9Department of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, Japan; Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, Japan; Corresponding author at: Department of Orthopedic Surgery, Nagoya City University East Medical Center, 1 Wakamizu, Chikusa-ku, Nagoya, Aichi 464-8547, Japan.Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, JapanDepartment of Orthopaedic Surgery, Nagoya City University East Medical Center, Nagoya, JapanProximal phalanx fractures of the big toe involving angulation or dislocation of the articular surface require repositioning and fixation. We treated a patient with such a fracture using a novel wire-connected external fixator, the ICHI-FIXATOR® system. A 45-year-old male sustained an injury when slipping down the stairs and impacting his left big toe. Plain radiography and computed tomography revealed a proximal phalangeal fracture of the left big toe with dislocation of the articular surface and comminution. The surgical intervention was performed using 1.1-mm diameter C-wires and an external fixator. The patient regained ambulation and resumed work immediately after surgery. Four weeks postoperatively, all wires were removed on an outpatient basis. Eight months postoperatively, the patient experienced no pain during strenuous activities or exercises. This novel wire-connected external fixator provides reliable and secure fixation, facilitating a prompt return to normal daily activities. This technique may be an effective option for managing toe fractures.http://www.sciencedirect.com/science/article/pii/S2352644024000712Intra-articular fractureBig toeICHI-FIXATOR® systemLinked-wire type external fixator |
| spellingShingle | Yusuke Hattori Yuji Joyo Yohei Kawaguchi Sanshiro Yasuma Ryohei Kondo Soichiro Watanabe Yusuke Komoto Satoshi Okumura Takahiro Esaki Yuko Waguri-Nagaya The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe Trauma Case Reports Intra-articular fracture Big toe ICHI-FIXATOR® system Linked-wire type external fixator |
| title | The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe |
| title_full | The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe |
| title_fullStr | The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe |
| title_full_unstemmed | The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe |
| title_short | The ICHI-FIXATOR® system, a novel wire-connected external fixator, demonstrates efficacy in managing intra-articular fractures involving the proximal phalanx of the big toe |
| title_sort | ichi fixator r system a novel wire connected external fixator demonstrates efficacy in managing intra articular fractures involving the proximal phalanx of the big toe |
| topic | Intra-articular fracture Big toe ICHI-FIXATOR® system Linked-wire type external fixator |
| url | http://www.sciencedirect.com/science/article/pii/S2352644024000712 |
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