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KMID : 0358820110380010102
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2011 Volume.38 No. 1 p.102 ~ p.104
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Subservient Bone Reduction with Histoacryl® (N-butyl-2-cyanoacrylate) in Hand Fractures: Two Cases of Report
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Lee Won
Lee Sung-Hwan
Oh Sang-A
Kang Dong-Hee
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Abstract
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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® for comminuted and intra-articular fractures in hands.
Methods: 2 cases with comminuted and intra-articular fractures by crushing injury were reconstructed with Histoacryl®. We performed applying Histoacryl® with swab on the bone cortex carefully to avoid Histoacryl® infiltrating into the medulla. We could rearrange and fixate bony fragments using only Histoacryl®, 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® in addition as a simple method of fixation in the comminuted and intra-articular hand fractures.
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KEYWORD
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Histoacryl®, N-butyl-2-cyanoacrylate
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