STUDY OF SURGICAL TREATMENT IN PHALANGEAL SHAFT FRACTURES USING LOW PROFILE MINI PLATES
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2019, Vol 5, Issue 1
Abstract
ABSTRACT: INTRODUCTION: Phalanx fractures are among the most common fractures of the hand. They may lead to loss of function if treated inappropriately.These injuries can be treated conservatively. However, in case significant shortening, rotational deformity and angulation occurs, surgical treatment is required. Materials and Methods : The retrospective study consists of 15 patients who had undergone surgical management of phalanges fracture of hand at the department of orthopedic surgery, IGIMS, Patna from Aug 2016 to Dec 2018. Patients had suffered injuries of phalanges. The mechanisms of injury were finger crush at work, fall from motorcycle or bicycle, and fall from own height or during physical assault. In this article, results of Phalanx fractures treated with open reduction and internal fixation with mini plates were presented Result: The treatment of phalanx fractures with plates ORIF got bone healing in all cases and satisfactory results in 90% of the cases, with low complication rates of joint stiffness Discussion: Nowadays osteosynthesis has replaced the traditional method of AO steel plates for mini fragment fractures of hand. Their multiple designs, many of them being pre-contoured, their delicate craft and their low profile allow the surgeon to get rigid internal fixation with less interference in the normal tendon sliding, and give the patient the possibility to develop early joint mobility and better functional results.
Authors and Affiliations
Rajesh Kumar Ranjan
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