Is Ideal Treatment of Metacarpal and Phalangeal Fractures Possible? Clinical and Radiological Outcomes of Three Surgical Choices

2020 ◽  
pp. 1
Author(s):  
Kaan Gürbüz ◽  
Yakup Ekinci ◽  
Sabri Batın ◽  
Zeliha Erten
2015 ◽  
Vol 135 (4) ◽  
pp. 499-504 ◽  
Author(s):  
Hakan Başar ◽  
Betül Başar ◽  
Onur Başçı ◽  
Osman Mert Topkar ◽  
Bülent Erol ◽  
...  

Injury ◽  
2012 ◽  
Vol 43 (6) ◽  
pp. 940-945 ◽  
Author(s):  
Takamasa Shimizu ◽  
Shohei Omokawa ◽  
Manabu Akahane ◽  
Keiichi Murata ◽  
Kenichi Nakano ◽  
...  

2017 ◽  
pp. 877-913
Author(s):  
W. Andrew Eglseder
Keyword(s):  

2001 ◽  
Vol 26 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Y. SAFOURY

This retrospective study assessed the outcomes of 30 patients with phalangeal fractures which were treated by open reduction and tension band wiring. Oblique, transverse and comminuted extraarticular fractures, as well as intraarticular fractures, were treated with this technique and they all united in about 8 weeks. There were no significant complications. At a mean follow-up period of 2.3 years, the active range of movement of the involved fingers was excellent in 17, and good in 13 instances. There were no fair or poor results.


1998 ◽  
Vol 17 (3) ◽  
pp. 491-511 ◽  
Author(s):  
John T. Capo ◽  
Hill Hastings
Keyword(s):  

2015 ◽  
Vol 12 (1) ◽  
pp. 29-32
Author(s):  
Guru Prasad Khanal ◽  
R Rijal ◽  
B P Shrestha ◽  
P Chaudhary ◽  
R Maharjan ◽  
...  

Background: Fractures and dislocations of the hand are the most common injuries seen in emergency departments. Intraarticular fractures have worst functional outcomes if not managed properly. Objective: To find out the incidence and pattern of intra articular phalangeal fractures in the eastern part of Nepal Methods: Patients presenting at Emergency department of B.P.Koirala institute of Health Sciences between 1st January 2009 and 31st December 2009 and who were diagnosed as phalangeal fractures of hand were included in the study. These patients were reviewed for age at time of injury, gender, location of the incident, mechanism of injury, site of injury, side, hand dominance and mode of treatment. Results: One hundred and one patients were included in the study after excluding twenty patients with other associated injuries like head injury (6), poly trauma (10) or those not giving consent (4). The age ranged from 3 to 76 years. Among them male were 79.2%. Farm related injuries were the most common cause in both the sexes. Left side was the most involved side. Most of the patients attended hospital more than 4 hours after injury. Among them 74% had open fracture. Proximal phalanx was involved in 54.4% of cases. Pattern of involvement was mostly oblique and transverse. Most of the patients were undergone wound debridement and Kirschner wire fixation. Conclusion: Farm related and household events are commonest causes of hand injuries with intraarticular phalangeal fractures in our set up. Young males belonging to economically productive age group are mostly affected by these fractures.DOI: http://dx.doi.org/10.3126/hren.v12i1.11982Health Renaissance 2014;12(1):29-32


2021 ◽  
Vol 2 (3) ◽  
pp. 01-07
Author(s):  
Brenda Arcos Vera ◽  
Felipe Alejandro López Silva ◽  
Héctor Adolfo Morales Yépez

Introduction: Gunshot wounds are a major cause of morbidity and lead to serious socioeconomic problems. Wounds often causing severe functional sequelae. Therefore, it is vitally important to provide proper management of these wounds. OBJECTIVES: Define the treatment of gunshot wounds at the Central Military Hospital in the period from March 2019 to March 2021. Material and Methods: It is a descriptive, retrospective, observational study, RESULTS: Patients who fulfilled the diagnosis presented 3 metacarpal fractures (27.27%), 2 metacarpal and phalangeal fractures (18.18%), 2 fractures of phalanges (18.18%), 1 carpal + metacarpal fractures (9.09%), 3 with injury only to skin cell tissue without evidence of fractures (27.27%). Therapeutic management: 3 patients received external fixator, 2 ORIF, 1 external fixator + ORIF + inguinal flap + bone graft, 1 external fixator + bone graft + ORIF, 0 wound closure, 4 management with wet therapy, CONCLUSIONS: The wounds By firearm in hand are frequent injuries, which merit immediate treatment. This depends on the complexity of the injury for a speedy recovery and integration into the workplace.


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