Single retrograde intramedullary wire fixation of metacarpal shaft fractures
CHAMMAA, RH, THOMAS, Peter BM and KHALIL, A (2010) Single retrograde intramedullary wire fixation of metacarpal shaft fractures. Acta Orthopaedica Belgica, 76. pp. 751-757. ISSN 0001-6462
Full text not available from this repository.Abstract or description
From 1993 to present day, 110 metacarpal fractures
in 89 patients were stabilised using a method of
inserting a percutaneous intramedullary wire. This
allowed for early unimpeded movement in wrist and
hand together with ease of wire removal in clinic.
Reduction was maintained in all patients until frac-
ture healing, and there were no malunions. One was
re-done owing to inadequate reduction intra-opera-
tively, which thereafter united. One re-fractured and
was subsequently treated non-operatively. There
were two superficial infections. One patient was lost
to follow-up at 4 weeks ; the rest regained a full
range of pain-free movement. In a final assessment of
62 patients, the mean DASH score was 4.6.
We recommend this technique for metacarpal frac-
tures that are : transverse and off-ended ; angulated
transverse or short oblique ; multiple transverse or
short oblique. We do not recommend this technique
for long oblique or rotationally malaligned fractures.
Item Type: | Article |
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Faculty: | Previous Faculty of Computing, Engineering and Sciences > Engineering |
Depositing User: | Peter OGRODNIK |
Date Deposited: | 10 Nov 2012 15:12 |
Last Modified: | 10 Nov 2012 15:13 |
URI: | https://eprints.staffs.ac.uk/id/eprint/80 |
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