Internal fixation with one-hole microplate for the treatment of collateral ligament injuries of the metacarpophalangeal joint of the thumb combined with fracture.
- Author:
Xi-Xun WANG
;
De-Tao SUN
;
Xu-Hui CHEN
;
Jun LI
;
Yan CUI
;
Ji-Chao HU
;
Zheng-Hua SHU
;
Jian HE
;
Chao-Qi DING
;
Bo CHEN
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Bone Plates; Collateral Ligaments; injuries; surgery; Female; Fracture Fixation, Internal; methods; Fractures, Bone; surgery; Humans; Male; Metacarpophalangeal Joint; injuries; surgery; Middle Aged; Thumb; injuries; surgery; Young Adult
- From: China Journal of Orthopaedics and Traumatology 2015;28(3):214-218
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study clinical effects of one-hole microplate internal fixation for the treatment of collateral ligament injuries of the metacarpophalangeal joint of the thumb combined with fracture.
METHODSTwenty-two patients (16 males, 6 females) with collateral ligament injuries of the metacarpophalangeal joint of the thumb combined fracture were treated with one-hole microplate internal fixation. The age of the patients ranged from 18 to 53 years old with a mean age of 28.5 years old. The duration from injury to surgery ranged from 2 hours to 2 months, and the mean time was 6 days. All the patients had collateral ligament injuries combined with fracture of the metacarpophalangeal joint of the thumb. Thirteen patients had injuries in the right hand and 9 patients had injuries in the left hand. There were 18 cases of closed wound and 4 cases of open wound. Eighteen patients had fresh injuries (< 2 weeks) and 4 had old injuries (> 2 weeks). Sixteen patients had injuries in the ulnar collateral ligament of the thumb combined with fracture, 6 patients had radial collateral ligament injuries of the thumb combined with fracture, 4 cases of which were complicated with injuries of abductor pollicis brevis and the end of the flexor pollicis brevis tender. The size of the avulsed fragment was about 3.0 mm x 4.0 mm to 6.0 mm x 7.0 mm.
RESULTSThe incisions of 22 patients healed by first intention. The follow-up periods ranged from 6 months to 5 years old,with an average of 2.5 years old. The thumb function was evaluated by Saetta and other evaluation criteria, and 20 patients got an excellent result and 2 good.
CONCLUSIONThe application of one-hole microplate internal fixation in treating collateral ligament injuries with fracture of the metacarpophalangeal joint of the thumb is an effective method.