Closed Reduction and Percutaneous Pinning in Fracture-Dislocations of Carpometacarpal Joints / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 199-206, 2001.
Artigo
em Coreano
| WPRIM
| ID: wpr-653262
ABSTRACT
PURPOSE:
There is little information about the treatment of carpometacarpal (CMC) fracture-dislocations. The purpose of this study was to investigate treatment methods and times between diagnosis and surgery in CMC fracture-dislocations. MATERIALS ANDMETHODS:
In 18 cases treated by surgery, the 4, 5th CMC joints were found to be the most frequently involved in 13 cases. Comminution of the carpal or metacarpal bone was present in 8 cases. The time to surgery was within 3 days in 10 patients, within 5 days in 6, within 9 days in one patient and more than 4 weeks in one. All the injuries were managed by closed reduction and K-wire fixation except for one which was detected after 4 weeks since initial trauma.RESULTS:
A painless full hand function was restored in 13 cases. Intermittent pain was present in 5 cases in which there was comminution in 4. However, clinically full hand function was restored in 4 cases except for one in whom the treatment was delayed.CONCLUSION:
If the treatment of CMC fracture-dislocation is not delayed a successful result can be gained using the closed method even though comminution occurs.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Diagnóstico
/
Articulações Carpometacarpais
/
Mãos
/
Articulações
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Ano de publicação:
2001
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS