Closed Reduction and Percutaneous Pinning in Fracture-Dislocations of Carpometacarpal Joints.
- Author:
Seung Ju JEON
1
;
Hyung Ku YOON
;
Kang Woo JUNG
;
Yong Jae LEE
;
Kyoung Sun NOH
Author Information
1. Department of Orthopaedic Surgery, Sung Ae Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Carpometacarpal joint;
Fracture-Dislocations;
Closed reduction
- MeSH:
Carpometacarpal Joints*;
Diagnosis;
Hand;
Humans;
Joints
- From:The Journal of the Korean Orthopaedic Association
2001;36(3):199-206
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: There is little information about the treatment of carpometacarpal (CMC) fracture-dislocations. The purpose of this study was to investigate treatment methods and times between diagnosis and surgery in CMC fracture-dislocations. MATERIALS AND METHODS: In 18 cases treated by surgery, the 4, 5th CMC joints were found to be the most frequently involved in 13 cases. Comminution of the carpal or metacarpal bone was present in 8 cases. The time to surgery was within 3 days in 10 patients, within 5 days in 6, within 9 days in one patient and more than 4 weeks in one. All the injuries were managed by closed reduction and K-wire fixation except for one which was detected after 4 weeks since initial trauma. RESULTS: A painless full hand function was restored in 13 cases. Intermittent pain was present in 5 cases in which there was comminution in 4. However, clinically full hand function was restored in 4 cases except for one in whom the treatment was delayed. CONCLUSION: If the treatment of CMC fracture-dislocation is not delayed a successful result can be gained using the closed method even though comminution occurs.