Treatment of unstable metacarpal fractures by miniplate and screws

Kumar, Suresh; Mohanta, Simple

doi:10.1016/s0976-5662(11)60015-5

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…[22,36] These series handled phalangeal fractures together with metacarpal fractures, and more recent studies involving only metacarpal fractures have reported lower complication rates. [11,21,22,26,36] We believe that the reason for the relatively lower complication rates in our series was the inclusion of only metacarpal fractures, performance of minimal soft tissue and periosteal stripping, and use of low profile plates.…”

Section: Discussionmentioning

confidence: 85%

“…[2,15] However, late initiation of movement resulting in a stiff hand, pin tract infection, and pin migration are the disadvantages of this method. [2,3,26] Plate and screws provide a stable fixation in metacarpal fractures, and thus, allow for early motion and contribute significantly to the outcome. K-wire is a stable method in cases where soft tissue is intact.…”

Section: Introductionmentioning

confidence: 99%

“…Plate fixation is used in comminuted metacarpal fractures. [1,2,11,16,17,20,[26][27][28] A stable fixation allows for passive and active movements in intrinsic muscles affected by the trauma, significantly improving hand functions. Preservation of the anatomic reduction prevents rotational deformity.…”

Section: Introductionmentioning

confidence: 99%

“…All patients returned to their preinjury occupations, and none had angulation or rotational deformities. [17,26] The aim of this study was to assess the clinical and radiologic outcomes of patients with metacarpal fractures, who underwent open anatomic reduction and fixation with low profile titanium plates in our department.…”

Section: Introductionmentioning

confidence: 99%

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Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Aykut¹,

Öztürk²,

Özcan

et al. 2015

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Metacarpal fractures are among the most common fractures of the hand. They may lead to loss of function if treated improperly. These injuries can be treated conservatively. However, if significant shortening, rotational deformity and angulation occur, surgical treatment is required. In this article, results of metacarpal fractures treated with open reduction and internal fixation with mini plates were presented.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Aykut¹,

Öztürk²,

Özcan

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…Group I (Plate and screw fixation) consisted of 12 male patients with age ranged from 18 to 52 years, and the mean age was 32±9. 37 year. The preoperative lateral angulation was 52.5±16.15º; the shortening was 1.67 ±2.42mm.…”

Section: Methodsmentioning

confidence: 99%

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

Ahmad

Mohammad

2018

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Unstable metacarpal and phalangeal fractures represent more than one third fractures of the hand. The severe the trauma, the more grave the fracture that herald perfect management is needed.Objective: Assessment of the clinical and radiological outcomes of metacarpal and proximal phalangeal fractures in patients who underwent open anatomic reduction and fixation with plate and screws or by intramedullary K wire fixation.Patients and Methods: Twenty five patients with unstable metacarpal and phalangeal fractures were treated; in group I 12 male patients operated by plate and screw fixation and group II 13 male patients operated by intramedullary K wire fixation. For the two groups total active motion "TAM, DASH score, postoperative lateral angulation, loss of reduction and radiological healing were assessed.Results: There was a non-significant difference between group I (Plate and screw fixation) and group II (Intramedullary nail fixation) as regard the follow-up period or association between loss of reduction and removal of hard ware (p>0.05). Group I showed a significant increase in the mean values of surgery duration and TAM (p<0.05), accompanied by a significant reduction in the mean values of DASH score, postoperative lateral angulation and radiological healing in comparison to those group II (p<0.01). Conclusion:The operative duration of plates and screws fixation was longer than that of K wire fixation, but it had perfect stability with early mobilization, therefore, when possible it is preferred to be the first line of choice in management of unstable metacarpal and proximal phalangeal bone fractures.

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Extensor tendon splitting versus extensor tendon sparing approach for miniplate fixation of extraarticular proximal phalangeal fractures

Abubeih

Saleh

Thabet

et al. 2016

Current Orthopaedic Practice

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Background: Unstable phalangeal fractures constitute a challenge for surgeons with many options for operative treatment. Miniplate fixation of these fractures has the advantages of stability and neutralization of bending, rotational, and shear forces. To our knowledge, this is the first study to compare the functional results of an extensor tendon splitting approach with an extensor tendon sparing approach in extraarticular proximal phalangeal fractures fixed with a miniplate and screws. Methods: In a randomized prospective study we compared two groups of patients: group A, patients treated with an extensor tendon splitting approach (24 fractures in 21 patients with average age 31.9 yr) and group B, patients treated with an extensor tendon sparing approach (26 fractures in 19 patients with average age 30.8 yr). The final results were assessed with total active range of motion (TAM), grade of TAM, grip strength and Quick Disability of the Arm, Shoulder, and Hand (DASH) Score. Results: A TAM of 220 degrees or more was achieved in 79.2% (19/24) and 84.6% (22/26) of fractures in group A and B, respectively. There was a significant reduction in grip strength in group A compared to group B (45.9±8.4 kg vs. 51.7±7.3 kg; P<0.025). Other parameters showed slightly better results in group B compared with group A but the differences were statistically insignificant in regard to time to union (5.3+1 wk vs. 5.6+1.1 wk), TAM (226.8+18.4 degrees vs. 233.2+17.5 degrees), grading of TAM (excellent score 75% vs. 80.8%) and QuickDASH score (12±9.2 vs. 11.5±8.3). Conclusions: Meticulous surgical dissection, anatomical closure of layers, and early active mobilization are the keys to success in fixation of phalangeal fractures, regardless of the approach chosen.

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Treatment of unstable metacarpal fractures by miniplate and screws

Cited by 4 publications

References 13 publications

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

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

Extensor tendon splitting versus extensor tendon sparing approach for miniplate fixation of extraarticular proximal phalangeal fractures

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