Mohanakrishnan, V (2015) Functional Outcome of closed metacarpal fractures treated with mini fragment plates and screws: A Prospective study. Masters thesis, Madurai Medical College, Madurai.
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Abstract
BACKGROUND: Accurate open reduction and internal fixation of metacarpal fractures are required in unstable fractures where closed treatment technique yield poor functional outcome which usually is less than 5% of hand fractures. Minifragment plates and screws when used in properly selected cases provide rigid fixation allowing early mobilisation of joints and hence good functional outcome. PATIENTS AND METHODS: In 20 patients with closed unstable metacarpal fractures treated with minifragment plates and screws , functional outcome was assessed using American society for surgery of the hand (ASSH) total active flexion (TAF) score over a period of two years in prospective manner. RESULTS: In our study of unstable metacarpal fractures treated with plate osteosynthesis all the cases showed bone union (100%). The functional result is excellent in 80% of the patients (16 of 20 cases), good in 10% of cases (2 of 20 cases), poor in 10% of cases(2 of 20 cases). 2 patients developed superficial wound infection which settled with daily dressing and antibiotics and this does not affect the final outcome. CONCLUSIONS: Plate and screw fixation is a good option for treating closed unstable metacarpal fractures, where other modalities of fixation are less effective, the rigid stable fixation provided by plating withstands load without failure allowed early mobilization and achieved good functional results.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | metacarpal fracture ; mini fragment plate and screws ; internal fixation. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Sep 2017 01:58 |
| Last Modified: | 25 Sep 2017 01:58 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3313 |
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