Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomes

Bennett's injury is a fracture dislocation of the first carpo-metacarpal joint. The causative mechanism is axial overloading along the first metacarpal with simultaneous flexion. The palmar oblique ligament holds the palmar marginal fragment in its anatomical position. The different treatment...

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Main Authors: A. Akriotis, T.B. Grivas, V. Kechagias, D. Samaras
Format: Article
Language:ell
Published: Scientific Council of the General Hospital of Piraeus Tzaneion 2017-03-01
Series:Epistīmonika Chronika
Subjects:
Online Access:http://www.tzaneio.gr/images/docs/p17-1-6.pdf
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author A. Akriotis
T.B. Grivas
V. Kechagias
D. Samaras
author_facet A. Akriotis
T.B. Grivas
V. Kechagias
D. Samaras
author_sort A. Akriotis
collection DOAJ
description Bennett's injury is a fracture dislocation of the first carpo-metacarpal joint. The causative mechanism is axial overloading along the first metacarpal with simultaneous flexion. The palmar oblique ligament holds the palmar marginal fragment in its anatomical position. The different treatment options are the following: a) using local anesthetics in Emergency Room (ER) or typical surgical treatment in operative room with close reduction followed by percutaneous Kirschner wire, b) open reduction and internal fixation with screws or tension band wiring, c) external fixation. The aim of this study is to report a series of patients with Bennett's fractures who were treated under local anesthesia with closed reduction and percutaneous K-wire fixation, and the presentation of the long term, (16-25 years), follow-up outcomes, which were very good in all the reported patients without development of posttraumatic arthritis.
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spelling doaj.art-b7df96110cbf4fcb9d92c97c32cd69a92022-12-21T17:34:35ZellScientific Council of the General Hospital of Piraeus TzaneionEpistīmonika Chronika1791-13622241-16662017-03-012216473Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomesA. Akriotis0T.B. Grivas1V. Kechagias2D. Samaras3Traumatology and Orthopaedics Department, “Tzaneio” General Hospital of Piraeus, Piraeus, GreeceTraumatology and Orthopaedics Department, “Tzaneio” General Hospital of Piraeus, Piraeus, GreeceOrthopaedic Department, «Achillopouleio» General Hospital of Volos, Volos, GreeceTraumatology and Orthopaedics Department, “Tzaneio” General Hospital of Piraeus, Piraeus, GreeceBennett's injury is a fracture dislocation of the first carpo-metacarpal joint. The causative mechanism is axial overloading along the first metacarpal with simultaneous flexion. The palmar oblique ligament holds the palmar marginal fragment in its anatomical position. The different treatment options are the following: a) using local anesthetics in Emergency Room (ER) or typical surgical treatment in operative room with close reduction followed by percutaneous Kirschner wire, b) open reduction and internal fixation with screws or tension band wiring, c) external fixation. The aim of this study is to report a series of patients with Bennett's fractures who were treated under local anesthesia with closed reduction and percutaneous K-wire fixation, and the presentation of the long term, (16-25 years), follow-up outcomes, which were very good in all the reported patients without development of posttraumatic arthritis.http://www.tzaneio.gr/images/docs/p17-1-6.pdfBennett fracturesclosed reductionKirschner wireslong term follow up
spellingShingle A. Akriotis
T.B. Grivas
V. Kechagias
D. Samaras
Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomes
Epistīmonika Chronika
Bennett fractures
closed reduction
Kirschner wires
long term follow up
title Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomes
title_full Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomes
title_fullStr Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomes
title_full_unstemmed Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomes
title_short Fracture of the base of first metacarpal (Bennett fractures) treated with close reduction and Kirschner wire fixation: 16-25 years outcomes
title_sort fracture of the base of first metacarpal bennett fractures treated with close reduction and kirschner wire fixation 16 25 years outcomes
topic Bennett fractures
closed reduction
Kirschner wires
long term follow up
url http://www.tzaneio.gr/images/docs/p17-1-6.pdf
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AT vkechagias fractureofthebaseoffirstmetacarpalbennettfracturestreatedwithclosereductionandkirschnerwirefixation1625yearsoutcomes
AT dsamaras fractureofthebaseoffirstmetacarpalbennettfracturestreatedwithclosereductionandkirschnerwirefixation1625yearsoutcomes