Outcomes of Unstable Extraarticular Metacarpal Fractures Treated with Low Profile Titanium Plate System
Journal of the Korean Society for Surgery of the Hand
;
: 103-110, 2013.
Article
Dans Coréen
| WPRIM
| ID: wpr-29954
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate clinical results for open reduction and internal fixation of unstable extraarticular metacarpal fractures using low profile titanium plates.METHODS:
Sixty-two consecutive patients (76 metacarpals) with unstable extraarticular metacarpal fractures who prospectively underwent internal fixation with plating were enrolled. Minimum follow-up was 1 year. There were 48 males and 14 females; average age was 39 years (range, 15-71 years). The location of the fractures was shaft in 65 metacarpals and the type was transverse in 22 cases, oblique in 46 cases, and communited in 8 cases. Of the 62 patients, 11 were open; 9 of these had additional soft tissue injury. The surgical outcome was assessed by clinical and radiographic outcomes and complications.RESULTS:
Bone union was successfully achieved in all patients on the average period of 6.4 weeks. The final range of total active motion was excellent for 64 cases, good for 6 cases, fair for 5 cases, and poor for 1 case. Postoperative complications occurred in 9 patients (15 metacarpals). Statistical analysis revealed that patient age, occupation, multiple metacarpal fractures, and soft tissue injury were significantly correlated with incidence of complications at last follow-up.CONCLUSION:
Low profile titanium plating showed the low complication rate and good results in treating unstable extraarticular metacarpal fractures.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Complications postopératoires
/
Titane
/
Incidence
/
Études prospectives
/
Études de suivi
/
Traumatismes des tissus mous
/
Os du métacarpe
/
Professions
Type d'étude:
Etude d'incidence
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Society for Surgery of the Hand
Année:
2013
Type:
Article
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