Miniplating of metacarpal fractures: an outcome study

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Main Authors: Fallah E, Siyavashi B, Ebadi S, Zehtab MJ, Golbakhsh MR
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2011-05-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/18322.pdf&manuscript_id=18322
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author Fallah E
Siyavashi B
Ebadi S
Zehtab MJ
Golbakhsh MR
author_facet Fallah E
Siyavashi B
Ebadi S
Zehtab MJ
Golbakhsh MR
author_sort Fallah E
collection DOAJ
description "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 st1":*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Trauma to the hand is very common and consequently, metacarpal fractures are not rare entities. Some of these fractures need surgery. Considering the diversity of surgical methods available for these kinds of fractures and also the importance of achieving full function and speedy return to work for patients that are mainly young workers or athletes, this study was undertaken to investigate the outcome of treating these fractures by mini-plates."n"nMethods : Eighteen patients with open or comminuted fractures of metacarpal bones who were admitted to the emergency department of Sina Hospital between the years 2007 and 2010 underwent fixation surgery using mini-plates. Fourteen patients with 17 metacarpal fractures completed the study."n"nResults : Thirteen out of 14 patients had complete fracture union. The patient with non-union underwent revision surgery and bone graft. Four individuals developed an extensor lag of 15 degrees without functional impairment. Two patients had joint stiffness that was relieved after a period of physiotherapy and one developed wound dehiscence and discharge that improved with debridement and use of antibiotics without plate removal. Six patients had complaints regarding their hardware prominence and were satisfied after its removal. Overall, there was a 79% satisfaction rate upon the treatment."n"nConclusion: Despite the afore-mentioned complications, use of mini-plates seems to be a suitable treatment option for patients with comminuted metacarpal fractures. However, more studies with larger sample sizes are suggested to reach a firm conclusion."n"nKeywords: Fracture, metacarpal, mini-plates, complication.
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spelling doaj.art-0e8c26bbcc474a69952cc10b84f2bd9a2022-12-22T02:27:57ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222011-05-01692113117Miniplating of metacarpal fractures: an outcome studyFallah ESiyavashi BEbadi SZehtab MJGolbakhsh MR"n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 st1":*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Trauma to the hand is very common and consequently, metacarpal fractures are not rare entities. Some of these fractures need surgery. Considering the diversity of surgical methods available for these kinds of fractures and also the importance of achieving full function and speedy return to work for patients that are mainly young workers or athletes, this study was undertaken to investigate the outcome of treating these fractures by mini-plates."n"nMethods : Eighteen patients with open or comminuted fractures of metacarpal bones who were admitted to the emergency department of Sina Hospital between the years 2007 and 2010 underwent fixation surgery using mini-plates. Fourteen patients with 17 metacarpal fractures completed the study."n"nResults : Thirteen out of 14 patients had complete fracture union. The patient with non-union underwent revision surgery and bone graft. Four individuals developed an extensor lag of 15 degrees without functional impairment. Two patients had joint stiffness that was relieved after a period of physiotherapy and one developed wound dehiscence and discharge that improved with debridement and use of antibiotics without plate removal. Six patients had complaints regarding their hardware prominence and were satisfied after its removal. Overall, there was a 79% satisfaction rate upon the treatment."n"nConclusion: Despite the afore-mentioned complications, use of mini-plates seems to be a suitable treatment option for patients with comminuted metacarpal fractures. However, more studies with larger sample sizes are suggested to reach a firm conclusion."n"nKeywords: Fracture, metacarpal, mini-plates, complication.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/18322.pdf&manuscript_id=18322Fracturemetacarpalmini-platescomplication
spellingShingle Fallah E
Siyavashi B
Ebadi S
Zehtab MJ
Golbakhsh MR
Miniplating of metacarpal fractures: an outcome study
Tehran University Medical Journal
Fracture
metacarpal
mini-plates
complication
title Miniplating of metacarpal fractures: an outcome study
title_full Miniplating of metacarpal fractures: an outcome study
title_fullStr Miniplating of metacarpal fractures: an outcome study
title_full_unstemmed Miniplating of metacarpal fractures: an outcome study
title_short Miniplating of metacarpal fractures: an outcome study
title_sort miniplating of metacarpal fractures an outcome study
topic Fracture
metacarpal
mini-plates
complication
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/18322.pdf&manuscript_id=18322
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AT siyavashib miniplatingofmetacarpalfracturesanoutcomestudy
AT ebadis miniplatingofmetacarpalfracturesanoutcomestudy
AT zehtabmj miniplatingofmetacarpalfracturesanoutcomestudy
AT golbakhshmr miniplatingofmetacarpalfracturesanoutcomestudy