Comminuted fractures of the basilar joint of the thumb: combined treatment by external fixation, limited internal fixation, and bone grafting
Autor: | U. Büchler, Stephen M. McCollam, Claude Oppikofer |
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Rok vydání: | 1991 |
Předmět: |
Adult
Wrist Joint medicine.medical_specialty Adolescent External Fixators medicine.medical_treatment Bone grafting Thumb Fixation (surgical) External fixation Fracture Fixation Internal Fractures Bone Carpometacarpal joint medicine Internal fixation Humans Orthopedics and Sports Medicine Osteosynthesis Bone Transplantation business.industry Middle Aged Surgery body regions Radiography medicine.anatomical_structure Upper limb business |
Zdroj: | The Journal of hand surgery. 16(3) |
ISSN: | 0363-5023 |
Popis: | Displaced, comminuted fractures of the thumb carpometacarpal joint were treated by intermetacarpal external fixation, anatomic reduction of the joint surfaces, bone grafting and adjunctive internal fixation in thirteen patients. Retrospectively, at an average follow-up time of 35 months, nine patients showed a good result and one patient had a fair result. All fractures had united without secondary displacement, but focal irregularities of the joint surface were commonly seen. As compared with the uninvolved side, axial rotation averaged 79%, radial abduction 89%, key pinch 88%, and grip strength 81%. |
Databáze: | OpenAIRE |
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