The Results of Miniplate Fixation for the Fractures of Metacarpal and Phalangeal Bones of the Hand
10.4055/jkoa.1994.29.7.1828
- Author:
Soo Kil KIM
;
Keung Bae LEE
;
Chin Hong KO
;
Su Chan LEE
;
Dong Ho LEE
- Publication Type:Original Article
- Keywords:
Metacarpal and phalangeal fractures;
Hand;
Treatment;
Miniplate fixation
- MeSH:
Early Ambulation;
Fingers;
Fracture Healing;
Hand;
Humans;
Joints;
Metacarpal Bones;
Methods;
Range of Motion, Articular;
Skeleton;
Tendons
- From:The Journal of the Korean Orthopaedic Association
1994;29(7):1828-1834
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fracture healing in the hand is not an isolated goal. The functional end result is of paramount importance. When the correct techniques are used, miniplate fixation for metacarpal and phalangeal fractures of the hand provides rigid internal fixation, stabilizes the skeleton, preserves the gliding tissue, and therefore allowing immediate active range of motion exercise as well as minimizing joint and tendon complications. The authors have reviewed 39 patients, 52 cases of metacarpal and phalangeal fractures of the hand which were treated with miniplate in the department of orthopaedic surgery, Chang Ang Gil hospital from Sep. 1989 to Feb. 1993. The following results were obtained. 1. Miniplate fixation, in terms of fracture reduction and maintenance, allows on accurate anatomic reduction with rigid fixation which in turn affords on early mobilization without loss of reduction alignment. 2. The roentgenographic union was obtained within 15.1 weeks in average. The mean total acitve motion at the fractured finger was 230°. The complication rate was 11.5%. 3. In the treatment of metacarpal and phalangeal fractures of the hand, especially fractures of metacarpal bones, fixation with miniplate is considered to be an useful method in terms of getting fracture union and good range of motion with relative low complication rates.
