Treatment of comminuted fractures of the base of the thumb metacarpal using a cemented bone-K-wire frame
| Autor: | Yadong Yu, X. Shao, Zhemin Zhang, W. Duan, W. Du, Xiangjian Zhang |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Adolescent Intra-Articular Fractures Visual Analog Scale Bone healing 030230 surgery Thumb Pinch Strength Young Adult 03 medical and health sciences Fixation (surgical) Grip strength 0302 clinical medicine Fracture Fixation medicine Humans Orthopedics and Sports Medicine Rolando fracture Fractures Comminuted Retrospective Studies Fracture Healing Orthodontics 030222 orthopedics Hand Strength business.industry Rehabilitation Bone Cements Metacarpal Bones Middle Aged medicine.disease Polytrauma medicine.anatomical_structure Female Surgery Tomography X-Ray Computed Range of motion business Bone Wires |
| Zdroj: | Hand Surgery and Rehabilitation. 38:44-51 |
| ISSN: | 2468-1229 |
| DOI: | 10.1016/j.hansur.2018.09.005 |
| Popis: | We aimed to describe the treatment of comminuted fractures of the base of the thumb metacarpal using a cemented bone-K-wire frame. Between March 2010 and January 2016, 41 fractures of the base of the thumb were treated using a cemented bone-K-wire frame. The mean age of the patients was 34 years. The patients’ history included a fall onto the hand in 7 cases, direct trauma in 31 cases, and polytrauma with an unclear mechanism of injury in 3 cases. At the final follow-up, hand grip and pinch strength were measured using a dynamometer. All measurements were compared with those of the opposite hand. The patients were assessed functionally using the Smith and Cooney score.All K-wires were left in place until the bone healed. Bone healing was achieved in all thumbs in an average of 5.2 weeks. Follow-up averaged 27 months. The mean hand pinch and grip strength was 8.7 kg ± 2.4 kg and 38.4 kg ± 5.9 kg, respectively. The mean measurements on the opposite side were 9.2 kg ± 2.5 kg and 40.2 kg ± 6.6 kg, respectively. Based on the Smith and Cooney score, we obtained an average score of 87 ± 9.3, with 25 excellent, 9 good, and 2 fair results. The cemented bone-K-wire frame is an external fixator alternative that can be used for treating comminuted intra-articular fractures of the base of the thumb metacarpal. The system is cheap, easy to apply, and provides rigid fixation, resulting in good functional recovery. |
| Databáze: | OpenAIRE |
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