Complications of plate fixation in metacarpal fractures

Details

Serval ID
serval:BIB_74A455BE5516
Type
Article: article from journal or magazin.
Collection
Publications
Title
Complications of plate fixation in metacarpal fractures
Journal
Journal of Trauma
Author(s)
Fusetti  C., Meyer  H., Borisch  N., Stern  R., Santa  D. D., Papaloizos  M.
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
03/03/2018 18:22
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