Intramedullary Fixation of Metacarpal and Proximal Phalangeal Fractures of the Hand

Gonzalez, Mark H.; Hall, R

doi:10.1097/00003086-199606000-00008

Cited by 63 publications

(43 citation statements)

References 9 publications

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“…(17)(18)(19)(20) They provide comparable functional outcome with plate and screw fixation. But there is incidence of loss of reduction, penetration of metacarpophalangeal joint by hardware, thus necessitating a second surgery for hardware removal.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

Pugalenthi¹,

K²,

Thanappan³

et al. 2017

jemds

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BACKGROUNDMetacarpal fractures are common in adolescents and young active individuals. Mostly these are treated by conservative methods. In unstable fractures where closed reduction and final outcome are unsatisfactory, there are multiple surgical options for treating metacarpal fractures like K-wire fixation, interosseous wiring, plate osteosynthesis, etc. In this study, we assess functional outcome of closed metacarpal fractures treated with plates and screws. MATERIALS AND METHODSBetween 2014 and 2016, 20 cases of closed metacarpal fractures were studied. Fracture was approached by dorsal incision. Plate configurations were chosen according to the fracture pattern (straight plate for shaft fractures, T or L configured plates were used for periarticular fractures) and fixed with screws. Post-operative physiotherapy and followup carried out. RESULTSIn our study, all the cases showed bone union (100%). The functional result assessed by American Society for Surgery of the Hand (ASSH) Total Active Flexion score showed excellent result in 80% of the patients (16 of 20 cases), good in 10% of cases (2 of 20 cases). Stable and rigid fixation allowed early mobilisation of fingers thereby preventing stiffness and achieved overall good functional results. Although there were 10% (2 cases) of superficial infections, all settled with regular dressing and antibiotics without affecting final functional outcome. The overall results are satisfactory. CONCLUSIONPlate and screw fixation is a good option for treating closed unstable metacarpal fractures, where other modalities of fixation are less effective. The rigid stable fixation provided by plating which withstands load without failure allowed early mobilisation and achieved good functional results.

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Section: Discussionmentioning

confidence: 99%

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

Pugalenthi¹,

K²,

Thanappan³

et al. 2017

jemds

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show abstract

“…[21,38,41] Our complication rate was comparable to those encountered by the previous authors. [4,6,11,21,25,38,41,45] Two of our patients suffered from adventitious bursitis due to the imperfectly trimmed proximal end of wires. These were removed following fracture union.…”

Section: Surgical Techniquementioning

confidence: 92%

“…Subsequently the French, German and English literatures have reported favorable results comparable to our series. [4,6,11,20,21,25,37,38,41,44,45] Other authors have successfully employed this technique in other metacarpal fractures as well. [21,25,26,41,45] Our indications for internal fixation surgery had been; displaced or unstable fractures of metacarpal necks, open fractures with soft tissue trauma and patients unwilling to accept the cosmetic deformity resulting from non operative treatment.…”

Section: Surgical Techniquementioning

confidence: 99%

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“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

Memon

Patankar

Nagori

2018

Int Jour of Biomed Res

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Background: Fifth metacarpal neck fractures, also known as Boxer's fractures, commonly occur as a result of axial impact on a clenched fist. There is no agreement over the optimum management of undisplaced boxers fracture. We present the results of treatment by a Bouquet technique, described by Foucher in 143 consecutive cases of displaced fifth metacarpal neck fractures. Methods: We retrospectively reviewed our records for 143 consecutive cases of fifth metacarpal neck fractures treated with Bouquet technique. Clinical and radiological evaluation was done at 6 weeks, 12 weeks and 6 months. Total active motion of the fifth digit, radiography and complications if any were noted. Results: Of 143 cases, there were 113 cases with closed reduction and 30 with open reduction. Radiological union was achieved in 140 cases. Remaining 3 were lost to follow up. Good to excellent result was achieved in 95% cases. Seven cases developed bursitis at the K-wire entry site which required k-wire removal. Conclusion:The technique of flexible antegrade intramedulary nailing of fifth metacarpal neck fractures is simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complications.

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“…Variations of this technique have been reported with reasonable success in the last decade, but they had their own drawbacks [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Results of locked flexible intramedullary nailing of metacarpal fractures: a case series

Venkatachalam

Harrison

2011

Eur J Trauma Emerg Surg

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Intramedullary Fixation of Metacarpal and Proximal Phalangeal Fractures of the Hand

Cited by 63 publications

References 9 publications

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

Results of locked flexible intramedullary nailing of metacarpal fractures: a case series

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