Outcomes of open reduction and plate fixation in hand phalanx fractures

被引:0
|
作者
Ozcan, Cagri [1 ]
机构
[1] Umraniye Egitim & Arastirma Hastanesi, Ortopedi & Travmatol Klin, Istanbul, Turkey
来源
CUKUROVA MEDICAL JOURNAL | 2019年 / 44卷
关键词
Phalanx; hand fractures; mini plate; joint stiffness; COMPLICATIONS; MANAGEMENT; METACARPAL; DORSAL; SCREW;
D O I
10.17826/cumj.560382
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: The aim of this study is to evaluate the radiological and functional results of open reduction, mini plate fixation in multifragmanter, shortness and followed by loss of reduction in the fractures of the phalanx, Materials and Methods: Between 2008 and 2016, patients who underwent mini plate and screw fixation due to 28 phalangeal fractures in our hospital were evaluated retrospectively. 30 phalanges of 28 patients were included in the study. Quick Dash scores, Grip strength, Functional range of motion were examined. The duration of union, duration of stay, duration of surgery and complications were evaluated. Results: The mean age of the patients was 37.3 (23-57) and the mean follow-up period was 23 (7-84) months. Quick Dash scores in the final follow-up of the patients were evaluated as 8.43 (0-27.5). The grip strength was 43 (25-60) kgW in the fracture and 47 (35-60) kgW in healthy. The total range of motion of the 3 joints of the patients (MP, PIP, DIP) was 240 degrees (170 -270). The mean union time of the patients was 34.9 days (25-50). The mean duration of hospital stay was 1.45 days (1-3). The mean duration of surgery was 60.25 min (45-90). Functionally, 6 of 28 patients had joint stiffness and 1 rotation. Six patients were not satisfied with the surgery.18 patients complained of swelling of the fingers. Conclusion: The advantage of open reduction and plate fixation in phalangeal fractures is a rigid fixation and decreased labor loss in the early period. In the early postoperative period, starting hand movement is important for patients with limited mobility. Surgical treatment of multifragmanter, displacement and shortness phalangeal fractures provides an advantage in early period; Rotation and joint stiffness are the major problems that may be encountered after surgery.
引用
收藏
页码:427 / 433
页数:7
相关论文
共 50 条
  • [11] Outcomes After Open Reduction With Internal Fixation of Mandible Fractures
    Barry, Rahman G.
    Wolbert, Thao T.
    Gress, Todd W.
    Ray, Peter D.
    Mozaffari, Farid B.
    JOURNAL OF CRANIOFACIAL SURGERY, 2018, 29 (05) : 1237 - 1240
  • [12] PLATE FIXATION FOR OPEN MANDIBULAR FRACTURES
    KLOTCH, DW
    BILGER, JR
    LARYNGOSCOPE, 1985, 95 (11): : 1374 - 1377
  • [13] PLATE FIXATION OF OPEN FRACTURES OF THE TIBIA
    CLIFFORD, RP
    BEAUCHAMP, CG
    KELLAM, JF
    WEBB, JK
    TILE, M
    JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (04): : 644 - 648
  • [15] Comments on "Complications of Low-Profile Plate Fixation of Phalanx Fractures"
    Lucchina, Stefano
    Meroni, Matteo
    Molitor, Martin
    Guidi, Marco
    HAND-AMERICAN ASSOCIATION FOR HAND SURGERY, 2022, 17 (05): : 999 - 1000
  • [16] Open reduction and internal fixation of quadrilateral plate fractures in the elderly: association between initial fracture pattern and outcomes
    Haiyang Wu
    Qipeng Shao
    Ranran Shang
    Chengjing Song
    Ximing Liu
    Xianhua Cai
    BMC Musculoskeletal Disorders, 22
  • [17] Open reduction and internal fixation of quadrilateral plate fractures in the elderly: association between initial fracture pattern and outcomes
    Wu, Haiyang
    Shao, Qipeng
    Shang, Ranran
    Song, Chengjing
    Liu, Ximing
    Cai, Xianhua
    BMC MUSCULOSKELETAL DISORDERS, 2021, 22 (01)
  • [18] Open reduction and internal fixation of humeral midshaft fractures: anterior versus posterior plate fixation
    Sebastian Lotzien
    Clemens Hoberg
    Valentin Rausch
    Thomas Rosteius
    Thomas Armin Schildhauer
    Jan Gessmann
    BMC Musculoskeletal Disorders, 20
  • [19] Open reduction and internal fixation of humeral midshaft fractures: anterior versus posterior plate fixation
    Lotzien, Sebastian
    Hoberg, Clemens
    Rausch, Valentin
    Rosteius, Thomas
    Schildhauer, Thomas Armin
    Gessmann, Jan
    BMC MUSCULOSKELETAL DISORDERS, 2019, 20 (01)
  • [20] Controlled active exercise after open reduction and internal fixation of hand fractures
    Jun, Dongkeun
    Bae, Jaehyun
    Shin, Donghyeok
    Choi, Hyungon
    Kim, Jeenam
    Lee, Myungchul
    ARCHIVES OF PLASTIC SURGERY-APS, 2021, 48 (01): : 98 - 106