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.
Artigo
em Inglês
| 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>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fisiologia
/
Cirurgia Geral
/
Ferimentos e Lesões
/
Fixadores Internos
/
Amplitude de Movimento Articular
/
Resultado do Tratamento
/
Implantes Absorvíveis
/
Ossos Metacarpais
/
Fraturas Ósseas
/
Fixação Intramedular de Fraturas
Limite:
Adolescente
/
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Medical Journal
Ano de publicação:
2015
Tipo de documento:
Artigo
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