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
ي Ko
| WPRIM
| ID: wpr-29954
المكتبة المسؤولة:
WPRO
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.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Postoperative Complications
/
Titanium
/
Incidence
/
Prospective Studies
/
Follow-Up Studies
/
Soft Tissue Injuries
/
Metacarpal Bones
/
Occupations
نوع الدراسة:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
المحددات:
Humans
/
Male
اللغة:
Ko
مجلة:
Journal of the Korean Society for Surgery of the Hand
السنة:
2013
نوع:
Article