Complications of plate fixation in metacarpal fractures
Details
Serval ID
serval:BIB_74A455BE5516
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Complications of plate fixation in metacarpal fractures
Journal
Journal of Trauma
ISSN
0022-5282 (Print)
Publication state
Published
Issued date
03/2002
Volume
52
Number
3
Pages
535-9
Notes
Journal Article --- Old month value: Mar
Abstract
BACKGROUND: The objective of this study is to assess the complications after open reduction and plate fixation of extra-articular metacarpal fractures. METHODS: We retrospectively reviewed the clinical and radiologic records of 129 consecutive patients with 157 metacarpal fractures treated by open reduction and internal fixation with plates between 1993 and 1999. Intra-articular fractures and fractures of the thumb metacarpal were excluded. Eighty-one patients (64 men and 17 women) with 104 fractures were available for review, at an average follow-up of 13.6 months (range, 6-27 months). RESULTS: Twenty-eight patients (35%) and 33 fractures (32%) had one or more complications, including difficulty with fracture healing (12 patients [15%]), stiffness (eight patients [10%]), plate loosening or breakage (seven patients [8%]), complex regional pain syndrome (two patients), and one patient who developed a deep infection. CONCLUSION: Despite technical advances in implant material, design, and instrumentation, plate fixation of metacarpal fractures remains fraught with complications and unsatisfactory results.
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
*Bone Plates
Chi-Square Distribution
Female
Fracture Fixation/methods
Fractures, Bone/*surgery
Humans
Male
Metacarpus/*injuries
Middle Aged
Postoperative Complications/*epidemiology
Retrospective Studies
Treatment Outcome
Wound Healing/physiology
Pubmed
Web of science
Create date
28/01/2008 9:22
Last modification date
20/08/2019 15:32