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Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications / 中华医学杂志(英文版)
Chinese Medical Journal ; (24): 2851-2855, 2015.
Article in English | WPRIM | ID: wpr-275605
ABSTRACT
<p><b>BACKGROUND</b>To avoid the irritation of tendons and soft tissues as well as hardware-related problems, we designed an intramedullary fixation with bioabsorbable rods for the treatment of the metacarpal shaft fractures.</p><p><b>METHODS</b>Five patients with nine shaft fractures of the fourth and fifth metacarpi were treated with intramedullary absorbable implants and followed up with an average of 4.2 months postoperatively.</p><p><b>RESULTS</b>At final follow-up, all patients achieved fracture union with no signs of inflammatory or subcutaneous effusion. There was no shortening, angulatory, or rotatory deformity. There was almost full active extension range of motion (ROM) of the metacarpophalangeal joints while the active flexion ROM of these joints was 80.7 ± 9.6°. Compared with the contralateral hand, the grip strength of the injured hand was 94.0 ± 9.6%. X-rays showed that the arch of the second to fifth metacarpal heads was smooth. There were no intramedullary lytic changes and soft tissue swellings.</p><p><b>CONCLUSION</b>The intramedullary absorbable implants are a safe, simple, and practical treatment for fourth and fifth metacarpal fractures with good early clinical outcomes and no significant complications.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Physiology / General Surgery / Wounds and Injuries / Internal Fixators / Range of Motion, Articular / Treatment Outcome / Absorbable Implants / Metacarpal Bones / Fractures, Bone / Fracture Fixation, Intramedullary Limits: Adolescent / Adult / Humans / Male Language: English Journal: Chinese Medical Journal Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Physiology / General Surgery / Wounds and Injuries / Internal Fixators / Range of Motion, Articular / Treatment Outcome / Absorbable Implants / Metacarpal Bones / Fractures, Bone / Fracture Fixation, Intramedullary Limits: Adolescent / Adult / Humans / Male Language: English Journal: Chinese Medical Journal Year: 2015 Type: Article