scholarly journals A study of clinical outcome of unstable metacarpal and phalangeal fractures treated by internal fixation

2019 ◽  
Vol 3 (1) ◽  
pp. 85-87
Author(s):  
Dr. Rahmat Ali ◽  
Dr. Shakeel Ahmad Qidwai ◽  
Dr. Amit Nandan Mishra ◽  
Dr. Sandhya Mishra
Keyword(s):  
Clinical Outcome ◽  
Internal Fixation ◽  
Phalangeal Fractures

Fractures of the Phalanges: Results of Internal Fixation Using 1.5mm and 2mm A. O. Screws

1987 ◽  
Vol 12 (1) ◽  
pp. 28-33
Author(s):  
D. J. FORD ◽  
S. EL-HADIDI ◽  
P. G. LUNN ◽  
F. D. BURKE
Keyword(s):  
Internal Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Active Movement ◽  
Flexion Deformity ◽  
The Mean ◽  
Condylar Fractures ◽  
Phalangeal Fractures ◽  
Mean Time

Thirty-six patients were treated for 38 phalangeal fractures using 1.5 mm and 2 mm A. O. screws. Plates were not used in the fingers. Oblique fractures of the condyles, shafts or bases of the proximal or middle phalanges were treated by internal fixation because of instability, displacement or rotation. 40% of fractures had associated skin wounds, were comminuted or had damage to the extensor mechanism. The mean duration of post-operative immobilization was 9 days and the mean time off work was 6 weeks. Total active movement in the involved ray was 220 degrees or greater in 24 cases, 180 degrees to 215 degrees in eight cases, and less than 180 degrees in two patients at follow up. The patients were reviewed between three and 54 months after treatment and the mean duration of follow up was 24 months. The most frequent complication was 10 degrees to 30 degrees of flexion deformity of the proximal interphalangeal joint after internal fixation of condylar fractures. Results were satisfactory in 90% of cases.

Clinical Outcome of Internal Fixation of Unstable Juvenile Osteochondritis Dissecans Lesions of the Knee

Orthopedics ◽  
2013 ◽  
Vol 36 (11) ◽  
pp. e1444-e1449 ◽  
Author(s):  
Jonathan E. Webb ◽  
Laura W. Lewallen ◽  
Christy Christophersen ◽  
Aaron J. Krych ◽  
Amy L. McIntosh
Keyword(s):  
Clinical Outcome ◽  
Internal Fixation ◽  
Osteochondritis Dissecans ◽  
Juvenile Osteochondritis Dissecans

Internal Fixation of Phalangeal Fractures Using Titanium Miniplates

1999 ◽  
Vol 42 (4) ◽  
pp. 408-410 ◽  
Author(s):  
Keith S. Berman ◽  
Douglas M. Rothkopf ◽  
John V. Shufflebarger ◽  
Richard Silverman
Keyword(s):  
Internal Fixation ◽  
Phalangeal Fractures

Treatment of Tibial Avulsion Fracture of Posterior Cruciate Ligament by Open Reduction and Internal Fixation

2020 ◽  
Vol 9 (1) ◽  
pp. 17-21
Author(s):  
Ranjib Kumar Jha ◽  
Santosh Thapa
Keyword(s):  
Clinical Outcome ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Posterior Cruciate Ligament ◽  
Open Reduction ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Avulsion Injury ◽  
The Mean

Background: An avulsion fracture of posterior cruciate ligament from tibial attachment is more common in younger age group. It should be fixed otherwise it may lead to secondary changes in knee. Various techniques and approaches are available to fix posterior cruciate ligament avulsion. Different biomechanical studies have shown that, results both open and arthroscopic methods of fixation of posterior cruciate ligament avulsion by screws are comparable. The purpose of study is to evaluate functional and clinical outcome of open reduction and fixation of posterior cruciate ligament avulsion injury through posteromedial approach. Materials and Methods: The study enrolled 19 cases of isolated posterior cruciate ligament avulsion injury with mean age of 33.21±9.07 year. All cases were treated by open reduction and internal fixation through modified posterior approach. The patients having duration of injury more than 12 weeks were excluded. The minimum follow up duration was 12 months. Results were assessed clinically and radiologically. Final functional outcome was assessed using the Lysholm scoring for knee. Results: The mean duration of follow up was 14±1.85 months. All patients achieved union at 3months. At final follow up the mean range of motion was 125.42±6.37 degree (range 110 to 135 degree) without any extensor lag. The functional outcome assessed by Lysholm scoring system was excellent in 15 cases and good in 4 cases. Conclusion: Open reduction and internal fixation with early range of motion exercises provides good clinical outcome and stable knee.

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