Internal fixation of metacarpal and phalangeal fractures with AO minifragment screws and plates: a prospective study

Bosscha, K.; Snellen, J.P.

doi:10.1016/0020-1383(93)90283-c

Cited by 61 publications

(35 citation statements)

References 18 publications

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“…Summarizing, the results of this method exceed those published with treatment by means of osteosynthesis with plate and screws [1,2,9,12,13], or conservative treatment [1,2,6], having less incidence of unsatisfactory complications [15,16,19]. a lack of early mobilisation by poor patient cooperation.…”

Section: Resultsmentioning

confidence: 90%

“…Some advantages of open surgical treatment are anatomic fracture correction and stability, but excessive indication for surgery for hand fractures, motivated by the availability of new micro-osteosynthesis materials, has led to finger stiffness derived from dissecting of important tissues, and of the occupied space by osteosynthesis material itself that is sometimes needed so that the different tissues can sliding [1,2,5,8,9].…”

Section: Discussionmentioning

confidence: 99%

“…We performed postoperative follow-ups at 2-3 days, 3-5 weeks, 3 months and 6 months, carrying out x-ray monitoring and serial functionality controls based on the American Society for Surgery of the Hand criteria [9,14] (Table 1). Figure 2: Fracture of the proximal phalanx (3 rd finger) treated using 4 percutaneous screws.…”

Section: Methodsmentioning

confidence: 99%

“…Over the last 25 years, treatment for hand fractures has increasingly turned to surgical treatment because of improved implant materials and tools, as well as rising use of the fluoroscope [1,8,9]. The growth in treating surgically these fractures stems from the desire to lower their two most frequent complications (stiffness and deformity) by providing greater fracture stability and allowing early mobility [1,10,11].…”

Section: Research Articlementioning

confidence: 99%

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Minimally Invasive Percutaneous Screw Fixation of Phalangeal Fractures of the Hand

Simón-Pérez¹

2017

J Musculoskelet Disord Treat

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Aim: This study present the results of an effective, minimally invasive treatment method for displaced diaphyseal and articular fractures of hand phalanges, which are difficult to manage and frequently involve complications stemming from excessive treatment.Methods: 93 patients with phalangeal fractures of the hand were treated using minimally invasive screw osteosynthesis. We carried out a prospective study covering the period from November 2002 to November 2013. All the fractures were closed and 39 (41.9%) fractures were intra-articular. The most common type of fracture was the long oblique, in 40 (43%) cases, followed by the spiral fracture in 14 (15.1%) cases. Results:The functional results attending mobility range and fracture healing obtained after the last revision (6 months) were excellent in 68 patients (73.1%), good in 18 (19.4%) and poor in 7 (7.5%). Conclusions:Percutaneous screw osteosynthesis reduces the time of fracture immobilisation to the maximum, contributing to earlier functional recovery, and leaves no aesthetic defects. It is a very useful technique in specially selected fractures and patients.Type de study/Level of evidence: Therapeutic III.

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Section: Resultsmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Research Articlementioning

confidence: 99%

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Minimally Invasive Percutaneous Screw Fixation of Phalangeal Fractures of the Hand

Simón-Pérez¹

2017

J Musculoskelet Disord Treat

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“…et al [13] and Chen et al [14]. Bosscha K. et al conducted a study in 43 patients with 47 metacarpal fractures with significant displacement and rotation angulations and instability and was managed with internal fixation using AO miniplate with anatomical reduction [15]. At a review after a mean period of 28 months, 31 patients with 35 fractures out of 34 patients had excellent recovery of TAF 92%.…”

Section: Discussionmentioning

confidence: 99%

Functional outcome of Metacarpal Fracture managed with Miniplate and Screws

Shah

Chand

et al. 2018

Janaki Med. Coll. J. Med. Sci.

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Background and Objectives: Early techniques of splint immobilization work well for simple metacarpal fractures. However, if significantly shorting, rotational deformity, and angulations occur, surgical treatment is required. The aim of this article was to study the functional outcome of metacarpal fractures treated by open reduction and internal fixation with mini plates and screw in low resource condition of Nepal.Material and Methods: This retrospective study was done over a period of one year 2012 to 2013 in Bir Hospital, Patan hospital and Shree Birendra hospital. The functional outcome after treatment was assessed by ability to perform acts of daily life and calculating American Society for Surgery of the Hand Total Active Flexion (ASSH-TAF).Results: Out of 30 patients twenty three were male (76.7%) and seven were female (23.3%). Among them, 7 patients (23.3%) showed union in 6 weeks. 18 Patients (60%) had union in 4 weeks. 3 patients (10%) had at five weeks and 2 patients had union at 6 weeks. We observed ASSH-TAF score at 2 weeks, 1month, 3 months, and 6 months. Results showed 24 patients (80%) had excellent, 4(13.3%) had good and 2(6.7%) had poor result.Conclusion: The use of miniplate and screws is a reasonable option for treating in displaced metacarpal fracture as it provides a rigid, Secure an anatomical stable reduction, which is sufficient to allow early mobilization of the adjacent joints, hence the mini plate fixation is effective means of immobilization of fracture of metacarpal with less complication and excellent functional outcome.

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Injury-Fractures-Carpo-Metacarpal Joint and Metacarpal

Hayton

2014

Disorders of the Hand

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Internal fixation of metacarpal and phalangeal fractures with AO minifragment screws and plates: a prospective study

Cited by 61 publications

References 18 publications

Minimally Invasive Percutaneous Screw Fixation of Phalangeal Fractures of the Hand

Minimally Invasive Percutaneous Screw Fixation of Phalangeal Fractures of the Hand

Functional outcome of Metacarpal Fracture managed with Miniplate and Screws

Injury-Fractures-Carpo-Metacarpal Joint and Metacarpal

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