Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked Miniplates
INTRODUCTION[|]We retrospectively examined extra-articular proximal phalangeal fractures excluding the thumb, for which fixation was applied using locked miniplates, with the aim to compare the results of the dorsal and midlateral approaches.[¤]METHODS[|]26 patients were operated via the dorsal appr...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2020-10-01
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| Series: | Southern Clinics of Istanbul Eurasia |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-76598 |
| _version_ | 1828021535727681536 |
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| author | Birkan Kibar |
| author_facet | Birkan Kibar |
| author_sort | Birkan Kibar |
| collection | DOAJ |
| description | INTRODUCTION[|]We retrospectively examined extra-articular proximal phalangeal fractures excluding the thumb, for which fixation was applied using locked miniplates, with the aim to compare the results of the dorsal and midlateral approaches.[¤]METHODS[|]26 patients were operated via the dorsal approach (Group 1) and 20 patients were operated via the midlateral approach (Group 2). No graft was used in any patient. No splint was applied to any patient after the operation. Active finger movements were resumed on postoperative day 1.
[¤]RESULTS[|]The mean ages of patients in Groups 1 and 2 were 35.1 (range: 18–60) years and 33.8 (17–71) years, respectively. Union was achieved in all patients in the study. In Group 1, the mean total active movement (TAM) was 228° (range: 170–270°); according to the digital functional assessment, 18 patients had excellent, 7 patients had good, and 1 patient had fair results. In Group 2, mean TAM was 239° (range: 200–270°); according to the digital functional assessment, 14 patients had excellent and 6 patients had good results.
[¤]DISCUSSION AND CONCLUSION[|]We believe that both dorsal and midlateral approaches in extra-articular proximal phalangeal fractures are effective and reliable methods with similar clinical and functional results, and are thus a suitable alternative for each other.[¤] |
| first_indexed | 2024-04-10T11:55:28Z |
| format | Article |
| id | doaj.art-fd2b7b043130479aac88ed1298b5f8b2 |
| institution | Directory Open Access Journal |
| issn | 2587-0998 |
| language | English |
| last_indexed | 2024-04-10T11:55:28Z |
| publishDate | 2020-10-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Southern Clinics of Istanbul Eurasia |
| spelling | doaj.art-fd2b7b043130479aac88ed1298b5f8b22023-02-15T16:16:51ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982020-10-0131326527110.14744/scie.2019.76598SCIE-76598Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked MiniplatesBirkan Kibar0Department of Orthopaedics and Traumatology, Haydarpaşa Numune Training and Research Hospital, İstanbul, TurkeyINTRODUCTION[|]We retrospectively examined extra-articular proximal phalangeal fractures excluding the thumb, for which fixation was applied using locked miniplates, with the aim to compare the results of the dorsal and midlateral approaches.[¤]METHODS[|]26 patients were operated via the dorsal approach (Group 1) and 20 patients were operated via the midlateral approach (Group 2). No graft was used in any patient. No splint was applied to any patient after the operation. Active finger movements were resumed on postoperative day 1. [¤]RESULTS[|]The mean ages of patients in Groups 1 and 2 were 35.1 (range: 18–60) years and 33.8 (17–71) years, respectively. Union was achieved in all patients in the study. In Group 1, the mean total active movement (TAM) was 228° (range: 170–270°); according to the digital functional assessment, 18 patients had excellent, 7 patients had good, and 1 patient had fair results. In Group 2, mean TAM was 239° (range: 200–270°); according to the digital functional assessment, 14 patients had excellent and 6 patients had good results. [¤]DISCUSSION AND CONCLUSION[|]We believe that both dorsal and midlateral approaches in extra-articular proximal phalangeal fractures are effective and reliable methods with similar clinical and functional results, and are thus a suitable alternative for each other.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-76598dorsal platingfracture; internal fixation; lateral plating; phalanx; unstable. |
| spellingShingle | Birkan Kibar Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked Miniplates Southern Clinics of Istanbul Eurasia dorsal plating fracture; internal fixation; lateral plating; phalanx; unstable. |
| title | Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked Miniplates |
| title_full | Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked Miniplates |
| title_fullStr | Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked Miniplates |
| title_full_unstemmed | Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked Miniplates |
| title_short | Comparison Between Dorsal and Midlateral Approaches in the Treatment of Extra-articular Fractures of Proximal Phalanges with Locked Miniplates |
| title_sort | comparison between dorsal and midlateral approaches in the treatment of extra articular fractures of proximal phalanges with locked miniplates |
| topic | dorsal plating fracture; internal fixation; lateral plating; phalanx; unstable. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-76598 |
| work_keys_str_mv | AT birkankibar comparisonbetweendorsalandmidlateralapproachesinthetreatmentofextraarticularfracturesofproximalphalangeswithlockedminiplates |