Mini-external Fixators in Fracture of Short Tubular Bones of Hand
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 10
Abstract
Introduction: Fractures of the metacarpal and phalanges constitute 10% of all fractures. Nowhere in the body, the form and function are so closely related to each other than in hand. Too often, these fractures are treated as minor injuries resulting in major disabilities. Aim: This study aims to evaluate the outcome of hand fractures managed with mini-external fixators. Materials and Methods: This is a prospective study to determine the outcome of phalangeal and metacarpal fractures treated with mini-external fixators. Study consists of 40 patients with fractures of phalanx and metacarpal bones. Pre-operative work-up was done to exclude crush injury of hand beyond reconstruction and with vascular injury. Fracture fixation was done with K-wires and clamps. All our patients were reviewed clinically and radiologically at regular interval. Result: Types of fracture; 25 were comminuted, 6 transverse, 5 oblique, and 10 spiral. Good results were in 16 cases, fair results in 5 cases, and there are no poor results. Fair results were in fracture with intra-articular extension due to the restriction of movements. Conclusions: Our overall experiences with mini-external fixators for phalangeal and metacarpal fractures are encouraging; however, we are aware this is a short-term study and would require further evaluation and more inputs.
Authors and Affiliations
O Ravinathan, R Vasantharaman, Heber Anandan
Keywords
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