Outcomes of Unstable Extraarticular Metacarpal Fractures Treated with Low Profile Titanium Plate System.
10.12790/jkssh.2013.18.3.103
- Author:
Jae Hoon LEE
1
;
Duke Whan CHUNG
;
Chung Soo HAN
;
Young Joo CHO
Author Information
1. Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. ljhos69@naver.com
- Publication Type:Original Article
- Keywords:
Metacarpals;
Fracture;
Internal fixation;
Plating
- MeSH:
Follow-Up Studies;
Humans;
Incidence;
Male;
Metacarpal Bones;
Occupations;
Postoperative Complications;
Prospective Studies;
Soft Tissue Injuries;
Titanium
- From:Journal of the Korean Society for Surgery of the Hand
2013;18(3):103-110
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to evaluate clinical results for open reduction and internal fixation of unstable extraarticular metacarpal fractures using low profile titanium plates. METHODS: Sixty-two consecutive patients (76 metacarpals) with unstable extraarticular metacarpal fractures who prospectively underwent internal fixation with plating were enrolled. Minimum follow-up was 1 year. There were 48 males and 14 females; average age was 39 years (range, 15-71 years). The location of the fractures was shaft in 65 metacarpals and the type was transverse in 22 cases, oblique in 46 cases, and communited in 8 cases. Of the 62 patients, 11 were open; 9 of these had additional soft tissue injury. The surgical outcome was assessed by clinical and radiographic outcomes and complications. RESULTS: Bone union was successfully achieved in all patients on the average period of 6.4 weeks. The final range of total active motion was excellent for 64 cases, good for 6 cases, fair for 5 cases, and poor for 1 case. Postoperative complications occurred in 9 patients (15 metacarpals). Statistical analysis revealed that patient age, occupation, multiple metacarpal fractures, and soft tissue injury were significantly correlated with incidence of complications at last follow-up. CONCLUSION: Low profile titanium plating showed the low complication rate and good results in treating unstable extraarticular metacarpal fractures.
