External fixation of metacarpal and phalangeal fractures
External fixation is rarely employed in the treatment of hand fractures, and few reports describing this technique have been published. This is a report on 26 patients with 30 hand fractures (19 metacarpal and 11 phalangeal) treated by closed reduction and external fixation. The fixation consisted o...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1991-05, Vol.16 (3), p.544-550 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Shehadi, Sameer I. |
| description | External fixation is rarely employed in the treatment of hand fractures, and few reports describing this technique have been published. This is a report on 26 patients with 30 hand fractures (19 metacarpal and 11 phalangeal) treated by closed reduction and external fixation. The fixation consisted of percutaneous and transversely applied Kirschner wires that were fixed externally with methylmethacrylate rods. Active range of motion exercises were started 1 week after reduction with the external fixator in place. Percentage return of total range of motion in phalangeal fractures varied from 66% to 98% (mean, 84%), and in metacarpal fractures it varied from 77% to 100% (mean, 96%). |
| doi_str_mv | 10.1016/0363-5023(91)90030-F |
| format | Article |
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This is a report on 26 patients with 30 hand fractures (19 metacarpal and 11 phalangeal) treated by closed reduction and external fixation. The fixation consisted of percutaneous and transversely applied Kirschner wires that were fixed externally with methylmethacrylate rods. Active range of motion exercises were started 1 week after reduction with the external fixator in place. Percentage return of total range of motion in phalangeal fractures varied from 66% to 98% (mean, 84%), and in metacarpal fractures it varied from 77% to 100% (mean, 96%).</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/0363-5023(91)90030-F</identifier><identifier>PMID: 1861042</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; External Fixators ; Female ; Finger Injuries - diagnostic imaging ; Finger Injuries - surgery ; Fracture Fixation - instrumentation ; Fracture Fixation - methods ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Metacarpus - diagnostic imaging ; Metacarpus - injuries ; Middle Aged ; Radiography ; Traumas. 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This is a report on 26 patients with 30 hand fractures (19 metacarpal and 11 phalangeal) treated by closed reduction and external fixation. The fixation consisted of percutaneous and transversely applied Kirschner wires that were fixed externally with methylmethacrylate rods. Active range of motion exercises were started 1 week after reduction with the external fixator in place. Percentage return of total range of motion in phalangeal fractures varied from 66% to 98% (mean, 84%), and in metacarpal fractures it varied from 77% to 100% (mean, 96%).</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>External Fixators</subject><subject>Female</subject><subject>Finger Injuries - diagnostic imaging</subject><subject>Finger Injuries - surgery</subject><subject>Fracture Fixation - instrumentation</subject><subject>Fracture Fixation - methods</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metacarpus - diagnostic imaging</subject><subject>Metacarpus - injuries</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo67r6DxR6ENFDNd9NL4IsuyoseNFzSNOpRvpl0sr6723tojdPAzPPO8w8CJ0SfE0wkTeYSRYLTNllSq5SjBmO13toTgQjsRSS76P5L3KIjkJ4x3jIMTFDM6IkwZzOkVptO_C1KaPCbU3nmjpqiqiCzljj26Ft6jxq30xp6lcYKW9s13sIx-igMGWAk11doJf16nn5EG-e7h-Xd5vYMiW7OCtynklFFZVJIiCz1AqhKICUTGY0Nwnk1DJhcmYTw0zGaZoSBlRYoThTbIEupr2tbz56CJ2uXLBQDgdB0wetcELw-OIC8Qm0vgnBQ6Fb7yrjvzTBehSmRxt6RHVK9I8wvR5iZ7v9fVZB_heaDA3z893cBGvK4f_auvCL8TRJOOMDdjthMLj4dOB1sA5qC7nzYDudN-7_O74B7gqF0g</recordid><startdate>19910501</startdate><enddate>19910501</enddate><creator>Shehadi, Sameer I.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19910501</creationdate><title>External fixation of metacarpal and phalangeal fractures</title><author>Shehadi, Sameer I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-bfd4b682826775ebc2c5582ee6636b2da7ed2c35ad3c7a3ab429913e25c584383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>External Fixators</topic><topic>Female</topic><topic>Finger Injuries - diagnostic imaging</topic><topic>Finger Injuries - surgery</topic><topic>Fracture Fixation - instrumentation</topic><topic>Fracture Fixation - methods</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metacarpus - diagnostic imaging</topic><topic>Metacarpus - injuries</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shehadi, Sameer I.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shehadi, Sameer I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>External fixation of metacarpal and phalangeal fractures</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1991-05-01</date><risdate>1991</risdate><volume>16</volume><issue>3</issue><spage>544</spage><epage>550</epage><pages>544-550</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>External fixation is rarely employed in the treatment of hand fractures, and few reports describing this technique have been published. This is a report on 26 patients with 30 hand fractures (19 metacarpal and 11 phalangeal) treated by closed reduction and external fixation. The fixation consisted of percutaneous and transversely applied Kirschner wires that were fixed externally with methylmethacrylate rods. Active range of motion exercises were started 1 week after reduction with the external fixator in place. Percentage return of total range of motion in phalangeal fractures varied from 66% to 98% (mean, 84%), and in metacarpal fractures it varied from 77% to 100% (mean, 96%).</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>1861042</pmid><doi>10.1016/0363-5023(91)90030-F</doi><tpages>7</tpages></addata></record> |
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| ispartof | The Journal of hand surgery (American ed.), 1991-05, Vol.16 (3), p.544-550 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Aged Biological and medical sciences External Fixators Female Finger Injuries - diagnostic imaging Finger Injuries - surgery Fracture Fixation - instrumentation Fracture Fixation - methods Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Humans Injuries of the limb. Injuries of the spine Male Medical sciences Metacarpus - diagnostic imaging Metacarpus - injuries Middle Aged Radiography Traumas. Diseases due to physical agents |
| title | External fixation of metacarpal and phalangeal fractures |
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