Details

Autor(en) / Beteiligte

• Margić, K.

Titel

External fixation of closed metacarpal and phalangeal fractures of digits. A prospective study of one hundred consecutive patients

Ist Teil von

• Journal of hand surgery, British volume, 2006-02, Vol.31 (1), p.30-40

Ort / Verlag

London, England: Elsevier Ltd

Erscheinungsjahr

2006

Quelle

MEDLINE

Beschreibungen/Notizen

• Stable and undisplaced phalangeal and metacarpal fractures treated with strapping or functional splinting and controlled active exercises offer from about 70 to 80% of good results. The goal of treatment of closed unstable and displaced fractures should be to achieve similar or better outcome. External fixation combines the simplicity of time-honoured fixation with K-wires and an external frame to increase rigidity. This combination was used in a prospective study of 100 consecutive patients with closed fractures of the proximal and middle phalanges and the distal three-quarters of the metacarpal bones. Good clinical results (TAM⩾230°) were obtained in 76% of isolated phalangeal fractures, in all metacarpal fractures and in 89% of multiple fractures.