Method of osteosynthesis of closed fractures of the II-V metacarpal bones with wires

Inventia se refera la medicina, in special la traumatologie si ortopedie, este aplicata pentru osteosinteza fracturilor inchise ale oaselor metacarpiene II-V. Metoda, conform inventiei, consta in aceea ca in regiunea bazei osului metacarpian fracturat, de partea dorsala a mainii se efectueaza o incizie a pielii cu lungimea de 0,2...0,4 cm, se departeaza tesuturile moi pana la os si prin plaga se introduce o brosa sub un unghi de 30...45o fata de axa antebratului, perforand primul strat cortical, introducand-o pana la stratul cortical al partii palmare si alunecand brosa pe el, se introduce pana in focarul fracturii, se repozitioneaza fragmentele, dupa care brosa se introduce mai departe in fragmentul distal, pana la stratul cortical al capului osului. Se efectueaza a doua incizie de partea dorsala a mainii cu o lungime de 0,2...0,4 cm la nivelul capului osului metacarpian fracturat, se departeaza tesuturile moi pana la os si prin plaga se introduce o alta brosa, perforand primul strat cortical, introducand-o pana la stratul cortical de partea palmara si alunecand pe el, brosa se introduce prin focarul fracturii in fragmentul proximal. Se efectueaza o roentgenograma de control si daca se constata o adaptare optimala a fragmentelor, capetele broselor se ciupesc la nivelul pielii. Daca se depisteaza o diastaza intre fragmente, brosele se indoaie si se comprima una spre alta si se fixeaza. Se aplica un pansament aseptic in regiunea inciziilor pielii, apoi o atela ghipsata pe partea palmara, de la nivelul plicei palmare distale pana la nivelul treimii distale a antebratului. The invention relates to medicine, namely to traumatology and orthopedics and is intended for osteosynthesis of closed fractures of the II-V metacarpal bones of the hand.The method, according to the invention, consists in that in the region of the damaged metacarpal bone base, on the back of the hand, it is performed the skin incision of a length of 0.2...0.4 cm, there are moved apart the soft tissues to the bone and through the wound is introduced a wire at an angle of 30...45° with respect to the axis of the forearm, perforating the first cortical layer, introducing it up to the cortical layer of the palmar part and sliding the wire thereon, it is introduced up to the focus of fracture, there are repositioned the fragments, and then the wire is introduced further into the distal fragment up to the cortical layer of the bone head. It is performed the second incision on the dorsal side o