Comparative Study of Different Modalities of Management of Hand Fractures
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Intoduction: Present day modern injury to the hand is more due to modern mechanized system. Injuries are in the form of laceration sharp cut and blunt injuries. There are various modalities for the treatment of Metacarpal and phalangeal fractures. We present a comparative study of different modalities of treatment of MC and phalangeal fracture. Study aimed to study incidence of MC and phalangeal fractures, and to study mechanism of injury and classify various types of fractures and to study various methods of management of MC and phalangeal fractures. Material and methods: In the study 58 patients with metacarpal and phalangeal fracture were analyzed and there observation was recorded. All traumatic fractures of MC and phalangeal fractures included in study. All fractures treated with different modalities of treatment like splintage, k wire, and plate and screw fixation. Results: Maximum number of cases was due to road traffic accidents accounting for 52% of injuries Treatment within 6 hours of injury reduces possibility of infection in all modalities of treatment. Transverse fractures were the most common in proximal phalanges and metacarpal shaft. The patients having transverse fracture had excellent or good results in 32 (76%) cases and fair to poor in 10 (24%). With 23 comminuted fractures only 11 (48%) cases had good or excellent result. Conclusion: Most of phalangeal and metacarpal fracture can be managed conservatively with closed reduction and splintage. Open reduction using plate and screw or only screw fixation has good outcome with early return of function and good range of motion of joints.
Authors and Affiliations
Uday Bhat, Vinod Pachade, Mithlesh Mishra, Snehjeet Wagh
Keywords
Related Articles
- EP ID EP430066
- DOI -
- Views 94
- Downloads 0
Diagnostic Accuracy of Mammography and Ultrasonography in Assessment of Breast Cancer
Introduction: Diagnostic efforts for breast cancer are critical because the disease has a high rate of successful outcomes with early identification and treatment. The mammography (MG) and ultrasonography (USG) are indiv...
A Study on Functional Outcome of Conservative Management of Stage 2 and 3 Avascular Necrosis of Femoral Head
Introduction: The standard treatment for stage 2 and 3 AVN is surgery, core decompression and total hip replacement. Conservative management of stage 2 and 3 AVN with muscle strengthening exercises, intermittent skin tra...
A Comparative Study of Nerve Conduction Velocities in Human Beings of Different Age
Introduction: Nerve conduction study is the most sensitive and reproducible measure of peripheral nerve function. The results of these motor and sensory nerve conduction studies are expressed as amplitudes, conduction ve...
Rhabdomyosarcoma of Oral Cavity: A Case Report
Introduction: Rhabdomyosarcoma (RMS) of oral cavity corresponds to 10 to 12% of all head and neck lesion and mainly involve the tongue, palate and oral mucosa. This malignant lesion is aggressive in behavior and consists...
Analysis of Thyroid Disorders in Type - 2 Diabetes Mellitus Patients
Introduction: Among endocrine disorders after diabetes mellitus condition, thyroid dysfunction is the most common. Thyroid disorders and Diabetes are interrelated conditions and the most common conditions presenting in c...