Unstable metacarpal and phalangeal fractures: treatment by internal fixation using AO mini-fragment plates and screws

Unstable metacarpal and phalangeal fractures: treatment by internal fixation using AO mini-fragment plates and screws

Accurate open reduction and internal fixation for metacarpal and phalangeal fractures of the hand is required in less than 5% of the patients; otherwise, closed treatment techniques offer satisfactory results in most of these cases as these fractures are stable either before or after closed reductio...

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Published in:Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Vol. 16; no. 4; pp. 334 - 338
Main Authors: Mumtaz, Mohammad Umar, Farooq, Muneer Ahmad, Rasool, Altaf Ahmad, Kawoosa, Altaf Ahmad, Badoo, Abdul Rashid, Dhar, Shabir Ahmad
Format: Journal Article
Language:English
Published: Turkey Ulusal Travma ve Acil Cerrahi Derneği 01-07-2010
Subjects:
Finger Phalanges - diagnostic imaging
Finger Phalanges - injuries
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Humans
Internal Fixators
Metacarpal Bones - diagnostic imaging
Metacarpal Bones - injuries
Metacarpal Bones - surgery
Radiography
Retrospective Studies
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Summary:Accurate open reduction and internal fixation for metacarpal and phalangeal fractures of the hand is required in less than 5% of the patients; otherwise, closed treatment techniques offer satisfactory results in most of these cases as these fractures are stable either before or after closed reduction. AO mini-fragment screws and plates, when used in properly selected cases, can provide rigid fixation, allowing early mobilization of joints and hence good functional results while avoiding problems associated with protruding K-wires and immobilization. The advantages of such internal fixation urged us to undertake such a study in our state where such hand injuries are commonly seen. Forty patients with 42 unstable metacarpal and phalangeal fractures were treated with open reduction and internal fixation using AO mini-fragment screws and plates over a period of three years in a prospective manner. The overall results were good in 78.5% of cases, fair in 19% of cases and poor in 2.5% of cases, as judged according to the criteria of the American Society for Surgery of the Hand. This technique is a reasonable option for treating unstable metacarpal and phalangeal fractures as it provides a highly rigid fixation, which is sufficient to allow early mobilization of the adjacent joints, thus helping to achieve good functional results.
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ISSN:1306-696X