Osteosíntesis percutánea con tornillos canulados en el tratamientode fracturas de metacarpianos y falanges de dedos largos de lamano
- Oscar Carrera Casal
- María Jesús Rivera Vegas
- Miguel Eugenio Estefanía Díez
- Pilar García Cano
- Javier Antonio Maya Gonzalez
- Endika Nevado Sanchez
ISSN: 0210-2323
Datum der Publikation: 2018
Ausgabe: 46
Nummer: 2
Seiten: 117-125
Art: Artikel
Andere Publikationen in: Revista iberoamericana de cirugía de la mano
Zusammenfassung
IntroductionThere is a high incidence of hand fractures, and a high percentage ofthem require surgical treatment. The functional result depends, to a large extent, onthe technique used. The use of retrograde intramedullary screws allows for earlymobilization and minimal dissection of soft tissues. The objective of the present studyis to analyze the clinical results and complications with this type of osteosynthesis.MethodsA total of 96 fractures in 81 patients were analyzed. There were 62metacarpal fractures, 60% of which involved the 5thfinger, 29% involved the 4th,5%involved the 3rd,and6%involvedthe2ndfinger. There were 34 fractures of thephalanxes, 27 of which (79.5%) involved the proximal phalanx, and 20.5% involved themiddle phalanx. The range of active mobility, the time spent at work, and intra-operative complications were assessed.ResultsThe average active mobility obtained was 260° (230–270°). Patients resumedtheir normal activity within an average time of 5 weeks (between 3 and 32 weeks).There was a 6% rate of intraoperative complications and a 13% rate of postoperativecomplications in the metacarpals, and an 8% rate of intraoperative complications and11% of postoperative complications in the phalanxes.ConclusionThe use of cannulated screws is a safe and effective option for thetreatment of different types of fractures, obtaining a good range of mobility, earlyreintegration, and with an acceptable number of complications