UNSTABLE PHALANGEAL FRACTURES - TREATMENT BY A.O. SCREW AND PLATE FIXATION

被引:80
作者
PUN, WK
CHOW, SP
LUK, KDK
NGAI, WK
PENG, WH
OTR, CN
CROSBY, C
机构
[1] Department of Orthopaedic Surgery, University of Hong Kong, Queen Mary Hospital
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 01期
关键词
D O I
10.1016/S0363-5023(10)80023-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A prospective study of fifty-two fresh traumatic unstable fractures of the proximal or middle phalanges of the hand in forty-seven patients was reviewed. All the fractures were fixed with A.O. miniature screws and plates. The overall results were not satisfactory and complications were frequent. Only 26.9% of the fractures had good results. Fractures associated with significant soft tissue injuries had very poor results. When the present series was compared with a comparable group of fractures fixed with Kirschner wires, there was no significant improvement in the results. The unsatisfactory outcome of this group of unstable fractures may be largely due to the frequent association with poor prognostic factors.
引用
收藏
页码:113 / 117
页数:5
相关论文
共 11 条
[1]  
James JIP, Fractures of the proximal and middle phalanges of the fingers, Acta Orthop Scand, 32, pp. 401-412, (1962)
[2]  
Green DP, Anderson JR, Closed reduction and percutaneous pin fixation of fractured phalanges, J Bone Joint Surg, 55 A, pp. 1651-1654, (1973)
[3]  
Pun WK, Chow SP, So YC, Et al., A prospective study on 284 digital fractures of the hand, J Hand Surg, 14 A, pp. 474-481, (1989)
[4]  
Massengill JB, Alexander H, Langrana N, Mylod A, A phalangeal fracture model—quantitative analysis of rigidity and failure, J Hand Surg, 7 A, pp. 264-270, (1982)
[5]  
Buchler U, Fischer T, Use of a minicondylar plate for metacarpal and phalangeal periarticular injuries, Clin Orthop, 214, pp. 53-58, (1987)
[6]  
Gingrass RP, Fehring BHT, Matloub H, Intraosseous wiring of complex hand fractures, Plast Reconstr Surg, 66, pp. 383-394, (1980)
[7]  
Stern PJ, Wieser MJ, Reilly DG, Complications of plate fixation in the hand skeleton, Clin Orthop, 214, pp. 59-65, (1987)
[8]  
Ford DJ, El-Hadidi S, Lunn PG, Burke FD, Fractures of the metacarpals: Treatment by A.O. screw and plate fixation, The Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand, 12 B, pp. 34-37, (1987)
[9]  
Dabezies EJ, Schutte JP, Fixation of metacarpal and phalangeal fractures with miniature plates and screws, J Hand Surg, 11 A, pp. 283-288, (1986)
[10]  
Hastings H, Unstable metacarpal and phalangeal fracture treatment with screws and plates, Clin Orthop, 214, pp. 37-52, (1987)