TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIRE
ABSTRACT Background: Phalangeal and metacarpal fractures are the most common skeletal injuries. Most of these fractures which are reducible and stable can be treated by non-operative methods like casts, splints or braces. However some fractures which are irreducible and unstable require open or cl...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Gomal Medical College, D.I.Khan, Pakistan
2016-12-01
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| Series: | Gomal Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://gjms.com.pk/ojs24/index.php/gjms/article/view/1375 |
| _version_ | 1818872873450733568 |
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| author | Muhammad shafiq Khan Muhammad Javed Khan |
| author_facet | Muhammad shafiq Khan Muhammad Javed Khan |
| author_sort | Muhammad shafiq Khan |
| collection | DOAJ |
| description | ABSTRACT
Background: Phalangeal and metacarpal fractures are the most common skeletal injuries. Most of these fractures which are reducible and stable can be treated by non-operative methods like casts, splints or braces. However some fractures which are irreducible and unstable require open or closed reduction and fixation. The aim of this study was to evaluate the effectiveness of k-wire fixation in phalangeal and metacarpal fractures with minimal dorsal incision.
Material & Methods: This descriptive study was conducted in Orthopedic Unit, DHQ Teaching Hospital D.I.Khan, Pakistan on 54 patients treated with k-wires through a minimal dorsal incision. First follow-up was done after second week, at this time stitches were removed and slab was discontinued. Follow-up was done monthly for 3 months and then every 3 months for one year.
Results: Among 54 patients 41 (76%) were males and 13 (14%) were females, with male to female ratio of 3:1. Among these 37 (68%) were above forty years and 17 (32%) below forty years age. Regarding the types of fractures 37 (68.5%) were transverse, 12 (22.2%) oblique and 5 (9.3%) fractures were comminuted. The modal healing time was 6-8 weeks. Regarding the range of movements after the procedure; 100% of normal ROM was attained in 27, >90% of normal in 20, 75-90% of normal in 4, 50-75% of normal in 2 and |
| first_indexed | 2024-12-19T12:45:44Z |
| format | Article |
| id | doaj.art-836e02316876498aa98ae4bb56213a38 |
| institution | Directory Open Access Journal |
| issn | 1819-7973 1997-2067 |
| language | English |
| last_indexed | 2024-12-19T12:45:44Z |
| publishDate | 2016-12-01 |
| publisher | Gomal Medical College, D.I.Khan, Pakistan |
| record_format | Article |
| series | Gomal Journal of Medical Sciences |
| spelling | doaj.art-836e02316876498aa98ae4bb56213a382022-12-21T20:20:48ZengGomal Medical College, D.I.Khan, PakistanGomal Journal of Medical Sciences1819-79731997-20672016-12-01141860TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIREMuhammad shafiq Khan0Muhammad Javed Khan1DHQ Teaching Hospital, D.I.KhanOrthopedic WardABSTRACT Background: Phalangeal and metacarpal fractures are the most common skeletal injuries. Most of these fractures which are reducible and stable can be treated by non-operative methods like casts, splints or braces. However some fractures which are irreducible and unstable require open or closed reduction and fixation. The aim of this study was to evaluate the effectiveness of k-wire fixation in phalangeal and metacarpal fractures with minimal dorsal incision. Material & Methods: This descriptive study was conducted in Orthopedic Unit, DHQ Teaching Hospital D.I.Khan, Pakistan on 54 patients treated with k-wires through a minimal dorsal incision. First follow-up was done after second week, at this time stitches were removed and slab was discontinued. Follow-up was done monthly for 3 months and then every 3 months for one year. Results: Among 54 patients 41 (76%) were males and 13 (14%) were females, with male to female ratio of 3:1. Among these 37 (68%) were above forty years and 17 (32%) below forty years age. Regarding the types of fractures 37 (68.5%) were transverse, 12 (22.2%) oblique and 5 (9.3%) fractures were comminuted. The modal healing time was 6-8 weeks. Regarding the range of movements after the procedure; 100% of normal ROM was attained in 27, >90% of normal in 20, 75-90% of normal in 4, 50-75% of normal in 2 andhttp://gjms.com.pk/ojs24/index.php/gjms/article/view/1375phalangeal fractures, metacarpal fractures, k-wire fixation. |
| spellingShingle | Muhammad shafiq Khan Muhammad Javed Khan TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIRE Gomal Journal of Medical Sciences phalangeal fractures, metacarpal fractures, k-wire fixation. |
| title | TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIRE |
| title_full | TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIRE |
| title_fullStr | TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIRE |
| title_full_unstemmed | TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIRE |
| title_short | TREATMENT OF PHALANGEAL AND METACARPAL FRACTURES WITH K-WIRE |
| title_sort | treatment of phalangeal and metacarpal fractures with k wire |
| topic | phalangeal fractures, metacarpal fractures, k-wire fixation. |
| url | http://gjms.com.pk/ojs24/index.php/gjms/article/view/1375 |
| work_keys_str_mv | AT muhammadshafiqkhan treatmentofphalangealandmetacarpalfractureswithkwire AT muhammadjavedkhan treatmentofphalangealandmetacarpalfractureswithkwire |