Is ideal treatment of metacarpal and phalangeal fractures possible? Clinical and radiological outcomes of three surgical choices
[ X ]
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: We purposed to determine which of the surgical treatment options for metacarpal and phalangeal fractures, a\rsubject that has limited coverage in the literature, is best.\rMethods: Sixty-three patients who were surgically treated for closed and extra-articular metacarpal (41.9%) and phalangeal\r(58.1%) fractures were included in a randomized prospective clinical trial between August 2015 and August 2017. The patients were divided into three groups using block randomization: open reduction and internal fixation (ORIF) with miniplate\rplus screw fixation (MP Group; 6F/15M), ORIF with screw only fixation (SO Group; 5F/16M), and closed reduction and\rpercutaneous K-wire fixation (KW Group; 3F/18M). The patients were followed up at 10 days and 3 weeks for wound care,\rat 3 months, and at the end of the first year and assessed based on dynamometer measurement, Q-DASH, and range of\rmotion (ROM).\rResults: Time to return to work was 77.56 ± 33.85 days, while Q-DASH scores at 3 months and 1 year and dynamometer\rvalues at 3 months were significantly higher in KW Group (p<0.05). Although ROM was higher in KW Group in patients with\rmetacarpal and phalangeal fractures of metacarpophalangeal joint, ROM of PIP joint and total ROM were significantly lower\r(p<0.05). Total ROM of thumb fracture cases was not significantly different from that of the other cases (p>0.05).\rConclusion: Miniplates should be used for metacarpal fractures and screw only for phalangeal fractures in those with occupations requiring fine skills while pinning should be used in those with professions involving heavy work.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Hand and Microsurgery
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
2
