Selection of Appropriate Treatment Options for Hand Fractures

Sammer, Douglas M.; Husain, Tarik M.; Ramirez, Rey N.

doi:10.1016/j.hcl.2013.08.005

Cited by 6 publications

(2 citation statements)

References 27 publications

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“…Implantation of low-profile plates provided improved benefits, but they continue to cause scarring that includes the soft tissues due to their thinness on the dorsal bone surface, causing a deficit of mobility, among other complications. [13][14][15] Stiffness after hand fractures is often difficult to treat. The best treatment is prevention through early mobilization and control of edema and pain.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Osteosynthesis with Headless Cannulated Screws in the Treatment of Metacarpal and Proximal and Middle Phalanxes Fractures of the Hand

Casal

Vegas

Díez

et al. 2018

Rev Iberoam Cir Mano

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Introduction There is a high incidence of hand fractures, and a high percentage of them require surgical treatment. The functional result depends, to a large extent, on the technique used. The use of retrograde intramedullary screws allows for early mobilization and minimal dissection of soft tissues. The objective of the present study is to analyze the clinical results and complications with this type of osteosynthesis. Methods A total of 96 fractures in 81 patients were analyzed. There were 62 metacarpal fractures, 60% of which involved the 5th finger, 29% involved the 4th, 5% involved the 3rd, and 6% involved the 2nd finger. There were 34 fractures of the phalanxes, 27 of which (79.5%) involved the proximal phalanx, and 20.5% involved the middle phalanx. The range of active mobility, the time spent at work, and intraoperative complications were assessed. Results The average active mobility obtained was 260° (230–270°). Patients resumed their normal activity within an average time of 5 weeks (between 3 and 32 weeks). There was a 6% rate of intraoperative complications and a 13% rate of postoperative complications in the metacarpals, and an 8% rate of intraoperative complications and 11% of postoperative complications in the phalanxes. Conclusion The use of cannulated screws is a safe and effective option for the treatment of different types of fractures, obtaining a good range of mobility, early reintegration, and with an acceptable number of complications.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Osteosynthesis with Headless Cannulated Screws in the Treatment of Metacarpal and Proximal and Middle Phalanxes Fractures of the Hand

Casal

Vegas

Díez

et al. 2018

Rev Iberoam Cir Mano

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“…In an Indian study on patients attending in accident and emergency department with fractures, 5.4% had hand fractures [5]. Many authors have presented rationale and principles of managing hand fractures [6][7][8], with majority emphasize on surgical management in the initial phase of fractures for stabilization. Phalanges and metacarpal fractures account for most of hand fractures [9,10].…”

Section: Introductionmentioning

confidence: 99%

Managing Hand Fractures: 15 Years’ Experience-from-a Tertiary Care Hospital from Pakistan

Khan¹,

Beg²

2017

J Surg

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Background: Fractures of hand bones predisposes a man to great disability by restricting daily working ability. We want to share our experience of dealing with hand fractures and its outcome in hand injuries. Methods: 15 years of data was retrieved from a tertiary care hospital and analyzed for age, gender, comorbidities, etiology, fractures involved, management and outcome in terms of days to return to daily activities. Results: We managed 969 patients with hand bones fractures, which had total of 1764 bones involved. Median age of presentation was 41 years. Carpal bones accounted for 187 (10.6%), metacarpals 627 (35.5%) and phalanges 950 (53.8%). Most were managed with K-wires (63.2%) and screws (3.9%) with return of daily activity was within 45 ± 10 days. Most common complication was soft tissue infections followed by osteomyelitis due to nature of injuries. Conclusion: Early surgical management and mobilization of hand after fractures fixation remains vital for good functional outcome of hand. Close follow up is required for timely intervention of associated complications.

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Hand and Foot Trauma Plating Fixation

Goharian¹,

Kadir²

2017

Trauma Plating Systems

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Selection of Appropriate Treatment Options for Hand Fractures

Cited by 6 publications

References 27 publications

Percutaneous Osteosynthesis with Headless Cannulated Screws in the Treatment of Metacarpal and Proximal and Middle Phalanxes Fractures of the Hand

Percutaneous Osteosynthesis with Headless Cannulated Screws in the Treatment of Metacarpal and Proximal and Middle Phalanxes Fractures of the Hand

Managing Hand Fractures: 15 Years’ Experience-from-a Tertiary Care Hospital from Pakistan

Hand and Foot Trauma Plating Fixation

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