Outcome of closed ipsilateral metacarpal fractures treated with mini fragment plates and screws: a prospective study

Soni, Ashwani; Gulati, Anmol; Bassi, Jiwan Lal; Singh, Daljit; Saini, Uttam Chand

doi:10.1007/s10195-011-0166-7

Cited by 33 publications

(38 citation statements)

References 47 publications

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“…active flexion of the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints minus the extension deficit in these joints, was used to assess the range of motion [14]. Complications such as fracture redisplacement, nonunion, and infection were recorded [15]. Fracture healing time was recorded until return to work.…”

Section: Surgical Techniquementioning

confidence: 99%

Comparison of Clinical Outcomes of Phalangeal Fracture Treated with Dorsolateral Approach or Post-middle Approach Using AO Mini Titanium Plate

Liu²,

Chen

et al. 2013

Indian J Surg

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The aim of this study is to investigate the clinical outcomes of various fixation methods for proximal phalangeal fractures with Arbeitsgemeinschaft für Osteosynthesefragen (AO) mini titanium plate by dorsolateral approach or post-middle approach. Clinical results of 62 fingers of 53 patients with proximal phalangeal fracture were evaluated. For dorsolateral approach, the lateral bundle of the extensor tendon was drawn away to expose the fracture part of the bone. After reduction, the plate was located at the dorsolateral side of the bone. For post-middle approach, the extensor tendon was split to expose the fracture part of the bone. After reduction, the plate was fixed to the proximal phalangeal side of the bone, and the extensor tendon was repaired with 3-0 nonabsorbable silk sutures. We found low overall complication rates in both groups. The mean total active motion (TAM) for the dorsolateral group and post-middle group was 234.60° ± 22.63° and 221.08° ± 25.69°, respectively. There was a statistical significance between the two groups (P = 0.037 < 0.05), indicating that TAM was notably affected by various fixation methods. With AO mini titanium plate, movement in dorsolateral approach group was significantly higher than in post-middle approach group. Dorsolateral approach is an acceptable technique of incision for proximal phalangeal fractures.

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Section: Surgical Techniquementioning

confidence: 99%

Comparison of Clinical Outcomes of Phalangeal Fracture Treated with Dorsolateral Approach or Post-middle Approach Using AO Mini Titanium Plate

Liu²,

Chen

et al. 2013

Indian J Surg

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“…In group A, percentage of TROM was 89.6±6.02% while in group B, it was 50.7±6.3%. Functional outcome was good in 80% of cases as TROM was 230° or more in 8 cases and 2 cases had fair results as they have total active motion less than 210° in group A while it was fair 100% of cases TROM was less than 210° in group B [12].…”

Section: Discussionmentioning

confidence: 92%

Biodegradable Plates Versus Titanium Mini-Plates for Fixation of Metacarpal and Phalangeal Fractures

Hassan

Mohamed

Eissa

2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Metacarpal and phalangeal bones are prone to injury in daily work and life and hand fractures account for about 1.5% of all emergency room visits. Problems associated with those fractures relate to shortening, rotation, and dorsal apex angulation. If closed methods of treatment fail to achieve or maintain reduction, surgery could be used. Oblique and spiral fractures are prone to mal-rotation so operative fixation could be necessary. Commonly used surgical techniques are Kirschner-wire, miniplate, and screw fixations. Biodegradable materials such as Polyglycolic acid (PGA) and Poly-L-lactic acid (PLA) implants have been widely used for hand fracture fixation including pins, rods, screws and plates. Patients and Methods:In this study, we compare the results of fixation of metacarpal fractures by titanium metal plates (group A) with the results of biodegradable plates (group B). This study involved twenty patients who presented with metacarpal and phalangeal fractures who presented to . Surgical procedure was performed under local intravenous or general anaesthesia. We followed cases for 6 months postoperatively.Results: Mean age = 38.9±14.9 and 35.7±13.1 years old for group A and B respectively. 13 patients were males and 7 were female. Operative time in group A was 55±19.4 minutes while in group B, it was 84.5±21.2 minutes. In group A, total range of motion was 234±15.05 degrees while in group B, it was 133±17.02 degrees as measured by goniometer. In group A, time for union was 7.5±1.7 weeks while in group B, unfortunately no union occurred. In group A, one case (10% of cases) was complicated with delayed union and another case of infection (10% of cases), while in group B all cases were complicated with non-union and fracture displacement which forced us to replace with K-wire fixation. Conclusion:In this series of metacarpal and phalangeal fractures treated with titanium or biodegradable plates and screws, titanium plates (group A) showed more favorable outcomes. The stable bony construct achievable by using titanium plates and screws (group A) is the key to good functional results compared with the bad results using biodegradable plates and screws (group B). Further studies are required.Disclosure: The authors have no financial interest to declare in relation to the content of this article.

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“…There are many literature studies showing satisfactory result of metacarpal fracture managed by mini plate and screws [8][9][10][11]. A study conducted by Joshi A. showed by good functional out come by total active motion more than 230 degree in 15 of 17 patients for whom plate fixation was done [8].…”

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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Outcome of closed ipsilateral metacarpal fractures treated with mini fragment plates and screws: a prospective study

Cited by 33 publications

References 47 publications

Comparison of Clinical Outcomes of Phalangeal Fracture Treated with Dorsolateral Approach or Post-middle Approach Using AO Mini Titanium Plate

Comparison of Clinical Outcomes of Phalangeal Fracture Treated with Dorsolateral Approach or Post-middle Approach Using AO Mini Titanium Plate

Biodegradable Plates Versus Titanium Mini-Plates for Fixation of Metacarpal and Phalangeal Fractures

Functional outcome of Metacarpal Fracture managed with Miniplate and Screws

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