Surgical Treatment with External Fixator for Posttraumatic Carpal Instability

  • Kozo Shimada
  • Minoru Nishino
  • Tohru Kadowaki
  • Tomio Yamamoto
Part of the NATO ASI Series book series (NSSA, volume 256)


In case of posttraumatic carpal instability, especially a chronic case with malunion or nonunion after a fracture in the wrist region, we have reconstructed the bony structure at the originally injured site with a bone graft, repaired the ligaments and maintained it under the effect of ligamentotaxis by the external fixator “Orthofix Pennig Model” (Figure 1). The purpose of this paper is to describe our surgical procedure and clinical experience, and also clarify the effectiveness and problems of this procedure. We also present a cadaver study to demonstrate the effect of this procedure from a biomechanical point of view.


Grip Strength Distal Radius Carpal Bone Wrist Pain Ulnar Variance 
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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Kozo Shimada
    • 1
  • Minoru Nishino
    • 1
  • Tohru Kadowaki
    • 1
  • Tomio Yamamoto
    • 1
  1. 1.Department of Orthopaedic SurgeryOsaka Kosei-nenkin HospitalOsakaJapan

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