| Autor: |
Mohammad Umar, Mumtaz, Muneer Ahmad, Farooq, Altaf Ahmad, Rasool, Altaf Ahmad, Kawoosa, Abdul Rashid, Badoo, Shabir Ahmad, Dhar |
| Rok vydání: |
2010 |
| Předmět: |
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| Zdroj: |
Ulusal travma ve acil cerrahi dergisi = Turkish journal of traumaemergency surgery : TJTES. 16(4) |
| ISSN: |
1306-696X |
| Popis: |
Accurate open reduction and internal fixation for metacarpal and phalangeal fractures of the hand is required in less than 5% of the patients; otherwise, closed treatment techniques offer satisfactory results in most of these cases as these fractures are stable either before or after closed reduction. AO mini-fragment screws and plates, when used in properly selected cases, can provide rigid fixation, allowing early mobilization of joints and hence good functional results while avoiding problems associated with protruding K-wires and immobilization. The advantages of such internal fixation urged us to undertake such a study in our state where such hand injuries are commonly seen.Forty patients with 42 unstable metacarpal and phalangeal fractures were treated with open reduction and internal fixation using AO mini-fragment screws and plates over a period of three years in a prospective manner.The overall results were good in 78.5% of cases, fair in 19% of cases and poor in 2.5% of cases, as judged according to the criteria of the American Society for Surgery of the Hand.This technique is a reasonable option for treating unstable metacarpal and phalangeal fractures as it provides a highly rigid fixation, which is sufficient to allow early mobilization of the adjacent joints, thus helping to achieve good functional results. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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