Tracking Pixel
presents
Wheeless' Textbook of Orthopaedics

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.