Osteosynthesis of the long bones of the hand
Authors:
Vojtěch Pokorný; Libor Paša; Jana Valentová
Authors place of work:
Department of Traumatology, Faculty of Medicine MU, Brno, Traumatological Hospital Brno
; Úrazová nemocnice v Brně
Published in the journal:
Úraz chir. 15., 2007, č.2
Summary
Introduction:
Fractures of the phalanges and metacarpals may be treated conservatively or surgically. The optimal therapy depends on the type of fracture and other factors. The authors evaluate the results of surgical treatment on fractured metacarpals and phalanges.
Materials and methodology:
The authors assess the results of using various kinds of osteosynthesis on fractures of the phalanges and metacarpals. Type of fracture, employed method of osteosynthesis, x-ray and functional treatment results are assessed on a group of patients treated in the Brno Traumatological Hospital. In total, 128 phalangeal and metacarpal fractures in 99 patients were treated using osteosynthesis. Of the total number, 72 fractures were stabilised using Kirschner wires, 29 with splint osteosynthesis, 16 with individual lag screws, 7 with external fixators, and 4 with cerclage wiring.
Results:
Of 128 fractures, bone healing in the majority of cases (99,2 %) was without complications, pseudoarthrosis had formed in only one case. 91 fractures (71 %) had healed in a good position according to x-ray, 37 had healed with an acceptable slight displacement, derotation osteotomy and reosteosynthesis had to be performed due to healing with rotational deviation and movement restrictions in only one instance from the entire group (0.78 %). Movement restriction in joints after fracture healing was found in 36 fractures (28 %), and occurred more often with phalangeal fractures rather than metacarpal fractures. In 9 cases, deliberation was performed due to deteriorated gripping function; with others the functionality was satisfactory. Infectious complications of osteosynthesis occurred in only one case from the entire group (0,78 %).
Conclusion:
The authors evaluated the results of the surgical treatment of metacarpal and phalangeal fractures with the objective of summarising the indication for various kinds of osteosyntheses in particular types of fractures.
Key words:
fractures, metacarpals, phalanges, osteosynthesis.
Zdroje
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Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
2007 Číslo 2
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Najčítanejšie v tomto čísle
- Osteosynthesis of the long bones of the hand
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- Intramedullary stabilisation of dislocated radial neck fractures in children