A case of ORIF with fibula graft of 2nd & 3rd metacarpal nonunion
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background: The management of nonunion and malunion in the metacarpals and phalanges is one of challenging task for surgeons. The Structure has a propensity for stiffness, the ability of adjacent digits to substitute functionally for compromised digits, the small size of the bones, and associated complications. Because of atrophic changes and stiffness and tendon adhesions amputation and arthrodesis are treatment options. In our case study we have successfully treated a case of non-union of metacarpals with excellent results. Methods: A 26 years old Male presented with the chief complaint of weakness in right hand since 8 months following A/H/O crush injury. Diagnosed with 2nd, 3rd metacarpal fracture ex fix with hypogastric graft was done. Following a time period of 8 months patient presented with non-union metacarpals. Patient underwent ORIF with fibula bone grafting (Fig 4) and minifragment plate and screw fixation (Fig 5). Results: Post-operative 4 weeks following the surgery the K-wires were removed and patient was called for regular follow up and rehabilitation in the form of grip strengthening exercises. 8 weeks post-op there was a significant improvement in the ROM and hand grip, patient was given a sling and early mobilisation was started.
Authors and Affiliations
Dr. Pankaj Ghogare
Keywords
Related Articles
- EP ID EP487121
- DOI 10.22271/ortho.2018.v4.i2m.121
- Views 104
- Downloads 0
Early outcome of hemireplacement arthroplasty using cemented bipolar prosthesis in fracture neck femur in elderly: A study of 50 cases
Introduction: A much controversy exists regarding treatment of neck of femur fractures in elderly. Currently, choices available for an orthopaedic surgeon for treating these fractures in elderly are unipolar hemiarthropl...
Prospective study of functional and radiological outcome of diaphysial fracture of femur in children, in age group of 5-15 years treated with, titanium elastic nail
To achieve the effectiveness of intramedullary fixation of displaced long bones shaft fractures in skeletally immature children using the TENS intramedullary nails. Patients and Methods: The case records of 30 children in...
Dervan rim sign new, simple radiological sign for unique Indian medial femoral condylar osteoarthritis
Introduction: OA knee is most common form of arthritis in Asian population. The medial compartment of knee is most commonly involved. Most X-ray studies have been from the Western Caucasian patients with different geneti...
Results of distal end radius volar plating
Background: Fractures of distal end of radius are one of the most common skeletal injuries treated by orthopaedic surgeons. Road traffic accidents are a major cause of fracture in young adults. In elderly fall on outstre...
To assess the early diagnostic criteria and wrist arthroscopy treatment of ulnar impaction syndrome- A clinical study
Background: The ulnar impaction syndrome is degenerative condition characterized by ulnar wrist pain, swelling, and limitation motion related to excessive load bearing across the ulnar aspect of the wrist. The present st...