Treatment of nonunions of the distal phalanx with olecranon bone graft
| Autor: | Fatih Kabakas, Berkan Mersa, Erden Erturer, Hüsrev Purisa, Ilker Sezer, Ismail Bulent Ozcelik |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Olecranon medicine.medical_treatment Nonunion Bone healing Bone grafting Cohort Studies Finger Phalanges Fracture Fixation Internal Fracture fixation Deformity Medicine Humans Kirschner wire Olecranon Process Retrospective Studies Fracture Healing Bone Transplantation business.industry Phalanx Middle Aged musculoskeletal system medicine.disease Surgery surgical procedures operative medicine.anatomical_structure Treatment Outcome Fractures Ununited Female medicine.symptom business Bone Wires |
| Zdroj: | The Journal of hand surgery, European volume. 34(5) |
| ISSN: | 2043-6289 |
| Popis: | Distal phalangeal fractures are the most common fractures of the hand but nonunions are unusual in the distal phalanx. Eleven patients were operated on for nonunions of the distal phalanx. The diagnosis of nonunion was made by the presence of the clinical (pain, deformity, instability) and radiological signs of nonunion more than 4 months after the initial injury. Three patients had developed infection and four of them had bone resorption after their initial treatments, which probably caused nonunion. Olecranon bone grafting combined with Kirschner wire fixation was done in all patients. The mean follow up was 7 months (range 5–18 months). There were no major complications at the donor or recipient sites. One patient had a haematoma formation at the donor site. There was complete radiological union of bone-grafted sites in all patients except one. There were no cases of pain, deformity, or instability after the treatment. The olecranon bone graft was found to be safe and easy to harvest. Its strong tubular structure replaced the distal phalanx successfully. |
| Databáze: | OpenAIRE |
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