Plate and Screw Versus Intramedullary K Wire for Fixation of Unstable Metacarpal and Phalangeal Fractures

Ahmad, Muhammad Aurangzeb; Mohammad, Mohammad Osman

doi:10.21608/ejprs.2018.78362

Cited by 2 publications

(2 citation statements)

References 38 publications

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“…Ahmad I et al [38] reported the results of 22 patients with an average age of 9.5 years having unstable radius ulna forearm fractures. They observed excellent outcome in 18(82%) patients, good in 2(9%) and fair in 2 (9%) patients.…”

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confidence: 99%

Flexible Intramedullary Titanium Elastic Nailing of Fracture Shaft of Radius and Ulna in Children at a Tertiary Care Teaching Hospital

Ruhullah¹

2016

OROAJ

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Introduction: Displaced fracture shaft of both bone forearms in children can still managed with close reduction and cast application. If, it has failed or remain inadequately reduced after closed reduction require intramedullary fixation to achieve functional outcome. This study assesses the functional outcome of treating displaced fracture shaft of both bone forearm in children with intramedullary flexible titanium elastic nailing.Method: 79 children aged 3 to 15 years with displaced fracture of shaft of both bone forearm underwent flexible titanium elastic nail. The patients were followed up for a period of 12 months. Results: Close reduction followed by nailing was possible in 71 patients, while 8 patients required open reduction through mini incision of both the radius and ulna fracture prior to nailing. 74 patients had excellent results and 5 patients had good results. 13 patients had minor complications including skin irritations over prominent hardware, superficial nail insertion site infection were noted in our study. 2 patients had a restriction of 20° of pronation and 10° of supination, 2 patients restriction of 15° of pronation and 1 patient had 8° volar angulation at the radial bone with limitation of 5° supination. All fractures were united in acceptable alignment by an average 9 weeks and nails were removed at an average of 6 months. Conclusion:Flexible nailing leads to more versatile and efficient application of internal fixation for fracture shaft of both bone forearm, which permits early mobilization and return to the normal activities of the patients, with very low complication rate.

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confidence: 99%

Flexible Intramedullary Titanium Elastic Nailing of Fracture Shaft of Radius and Ulna in Children at a Tertiary Care Teaching Hospital

Ruhullah¹

2016

OROAJ

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“…[9][10][11] Certain disadvantages of open reduction include skin scaring, injury to tendons, second surgery to remove the plate, expensive and demands appropriate skills. [12][13][14] Abdel Wahed et al compared different designs of locking plates, using fixed angle volar locking plates in 65 patients and variable angle volar locking plates in 48 patients with unstable distal radius fractures. The study concluded that the variable angle system is slightly better in terms of function and radiographic outcomes.…”

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confidence: 99%

Functional Outcomes of Distal Radius Fractures Managed With 2.7MM Variable Angle Volar Locking Compression Plates

Hidayatullah¹,

Hassan

Tariq³

et al. 2022

Pak Postgrad Med J.

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Objective: About 15 to 17 % of all fractures presenting to emergency department constitutes the distal radius fracture. Intra-articular fracture of distal radius remains one of the most challenging fractures to be reduced over decades for orthopedic surgeons. Objective is to demonstrate the functional outcomes of 2.7mm variable angle volar locking compression plate using Mayo’s wrist score in distal radius fracture. Methodology: A Quasi experimental study was conducted in the Department of Orthopedics & Trauma, CMH Rawalpindi from 20th October 2020 to 19th April 2021. A total of 120 patients with distal radius fracture AO Classification A1 C2 C3, 19 to 69 years of age of both genders were included. Outcome of 2.7mm Variable angle Volar Locking Compression Plates using Mayo’s wrist score was calculated. Data was entered in SPSS version 25. Descriptive analysis was done for age. Gender and mayo wrist scoring criteria were presented as frequencies and percentages. To analyze association of the outcome with age and gender chi-square test was applied. Results: Mean age in the study was 40.34 ± 8.01 years. Majority of the patients 71 (59.17%) were between 19 to 40 years of age. Out of 120 patients, 82 (68.33%) were males and 38 (31.67%). 51 (42.50%) patients had excellent functional outcome, 47 (29.17%) had good outcome, 13 (10.83%) had fair outcome and 09 (7.50%) had poor outcome. Conclusion: The functional outcomes of 2.7mm volar locking compression plate using Mayo’s wrist score in distal radius fracture is very good.

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Plate and Screw Versus Intramedullary K Wire for Fixation of Unstable Metacarpal and Phalangeal Fractures

Cited by 2 publications

References 38 publications

Flexible Intramedullary Titanium Elastic Nailing of Fracture Shaft of Radius and Ulna in Children at a Tertiary Care Teaching Hospital

Flexible Intramedullary Titanium Elastic Nailing of Fracture Shaft of Radius and Ulna in Children at a Tertiary Care Teaching Hospital

Functional Outcomes of Distal Radius Fractures Managed With 2.7MM Variable Angle Volar Locking Compression Plates

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