scholarly journals Unstable Metacarpal Fractures: A comparative study between Mini-plates and percutaneus K-wire fixation at Emergency Hospital, Mansoura University, Egypt

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Ilahiane Mohamed
Keyword(s):  
Comparative Study ◽  
Emergency Hospital ◽  
Metacarpal Fractures ◽  
Wire Fixation

Occupational and non occupational metacarpal bone fractures at the Mansoura University Emergency Hospital: A comparative study

2019 ◽  
Vol 35 (3) ◽  
pp. 248-255
Author(s):  
Samah Saleh El-Hadidy ◽  
Abdel-Hady El-Gilany ◽  
Khalid Nour ◽  
Enas Elsherbeny ◽  
Abdel Hamied Abdel Hamied
Keyword(s):  
Comparative Study ◽  
Bone Fractures ◽  
Handgrip Strength ◽  
Hand Function ◽  
Metacarpal Bone ◽  
Dash Score ◽  
Labour Law ◽  
Cross Sectional ◽  
Emergency Hospital ◽  
Metacarpal Fractures

Introduction Metacarpal fractures of the hand occur in active and working population. Objective The objective of this article is to compare between occupational and non occupational metacarpal fractures. Methods This is a cross-sectional comparative study with prospective components among patients with metacarpal fractures admitted to the Mansoura University Emergency Hospital in a 6-month period. Data were collected using a questionnaire that included personal and occupational histories and accident analysis. Clinical and radiological assessment of healing was done by DASH score and handgrip strength. Disability was estimated according to the Egyptian Labour Law. Results Of 149 patients, 56.4% and 43.6% were occupational and non occupational metacarpal fractures, respectively. The independent predictors of occupational metacarpal fracture are less than secondary education (adjusted odds ratio (AOR) = 4.2 (2–8.4)), being married (AOR = 4.2 (2.1–8.5)), and being a male (AOR = 7 (2.5–20)). Conclusions Lower education, being married, and being a male are risk factors of occupational metacarpal fractures. Surgery showed better hand function than conservative management.

scholarly journals Closed Reduction and Percutaneous Kirschner Wire Fixation Combined with Plaster Cast versus Conventional Plaster Cast immobilization in the Treatment of Colles' Fracture – A Prospective Randomized Comparative Study

1970 ◽  
Vol 17 (2) ◽  
pp. 98-105 ◽  
Author(s):  
KS Uzzaman ◽  
KA Awal ◽  
MK Alam
Keyword(s):  
Comparative Study ◽  
Closed Reduction ◽  
Kirschner Wire ◽  
Plaster Cast ◽  
Cast Immobilization ◽  
Fixation Group ◽  
Wire Fixation ◽  
Colles Fracture ◽  
End Results

Purpo'e: To evaluate functional & anatomical results of the Colles’ fracture treated by two methods- i) Closed reduction & precutaneous kirschner wire (K- wire) fixation combined with plaster cast & ii) Conventional plaster cast immobilization after closed reduction.Methods: A randomized prospective comparative study was done from July 2003 to June 2005 on 52 patient with Colles' fracture in NITOR, Dhaka. 12 patients lost from follow up. Twenty patient (20) in each group were finally available for evaluation. The group treated by closed reduction & percutaneous K-wire fixation combined with plaster cast- designated as "Arm A" & another group treated conventionally by plaster cast only designated by "Arm-B". Male Female ratio was 1:3, Age range was 35 to 70 years (Mean age 52.5 years) Distribution of limbs side involvement almost equal. Mode of injuries were domestic fall & RTA (4:1) According to AO classification fracture were in both groups- A2 = 13, A3 = 10, C1 = 6, C2 = 8 & C3 = 3 (Total- 40). Follow up period was 6-14 months (mean = 6 month)Results: Union time for most of the fractures was 6-8 weeks. At final follow up Satisfactory Anatomical end results of percutuneous fixation group (Arm-A) were 80% and in conventional plaster cast group (Arm-B) were 35%. (P<0.01). Satisfactory functional end results in Arm-A group were 70% and in Arm-B group were 30% (P<0.01) Complications seen much more in conventional group (Arm-B) than percutaneous K-wire fixation group (Arm-B). Sarmiento & Latta’s criteria was used to evaluate the progress.Conclusion: The coventional plaster cast method for treatment of colles’ fracture usually can't maintain radial length & angulation in many instances and results significant anatomical difficultly and functional disability. On the other hand after close reduction additional fixation in the form of percutaneous crossed K-wire can maintain the reduction till bony union & prevent late collapse at fracture site & provides better result. Key Words: Colles' fracture; closed reduction; Plaster cast & Kirschner wire (K-wire) fixationDOI: 10.3329/jdmc.v17i2.6591J Dhaka Med Coll. 2008; 17(2) : 98-105

A comparative study of skeletal and dental stability between rigid and wire fixation for mandibular advancement

2000 ◽  
Vol 117 (6) ◽  
pp. 0638-0649
Author(s):  
Stephen D. Keeling ◽  
Calogero Dolce ◽  
Joseph E. Van Sickels ◽  
Robert A. Bays ◽  
Gary M. Clark ◽  
...  
Keyword(s):  
Comparative Study ◽  
Mandibular Advancement ◽  
Wire Fixation

Stabilization of Multiple Metacarpal Fractures: A New Use for the Charnley Toe-Fusion Clamp

1993 ◽  
Vol 18 (2) ◽  
pp. 192-194 ◽  
Author(s):  
K. S. EYRES ◽  
N. KREIBICH ◽  
T. R. ALLEN
Keyword(s):  
Kirschner Wire ◽  
Multiple Fractures ◽  
Simple Modification ◽  
Metacarpal Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Surgery is often required to ensure adequate reduction and fixation of multiple fractures of the metacarpals. In order to stabilize metacarpal fractures with transverse Kirschner wire fixation, the authors have used a simple modification of the Charnley compression clamp designed for toe fusion.

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