Accuracy of Fluoroscopy in Closed Reduction and Percutaneous Fixation of Simulated Bennett's Fracture

Capo, John T.; Kinchelow, Tosca; Orillaza, Nathaniel S.; Rossy, William

doi:10.1016/j.jhsa.2008.12.023

Cited by 36 publications

(35 citation statements)

References 13 publications

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“…The CAT scan remains, however, the gold standard in evaluating joint surface details. In this context, it has to be born in mind that Capo et al [23] underlined how fluoroscopic and plain radiographic evaluation can be erroneous in assessing incongruities in joint reduction compared to direct measurement in a simulated Bennett fracture. For this reason, we tried to objectively assess the image intensifier results with the positioned K-wire.…”

Section: Discussionmentioning

confidence: 99%

7-year follow-up after open reduction and internal screw fixation in Bennett fractures

Leclère

Jenzer

Hüsler

et al. 2012

Arch Orthop Trauma Surg

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Background Bennett fractures are unstable, and, with inadequate treatment, lead to osteoarthritis, weakness and loss of function of the first carpometacarpal joint. This study focuses on long-term functional and radiological outcomes after open reduction and internal fixation. Methods Between June 1997 and December 2005, 24 patients with Bennett fractures were treated with open reduction and internal fixation with screws at our center. Radiological and functional assessments including range of motion of the thumb and pinch and grip strength were performed 4 months post-procedure and at the long-term follow-up, on average 83 months after surgery. Results Reduction of the Bennett fracture was maintained as it was at the time of the procedure in 96 % of the cases when fixation with two lag screws was performed. At the 4-month follow-up, mean pinch and grip strength reached 92 ± 3 and 89 ± 4 % of the contralateral side, respectively. Long-term follow-up demonstrated no correlation between the accuracy of the fracture reduction and the development of post-traumatic arthritis. Conclusion Good clinical results could be observed, if successful reduction of the fracture was achieved and maintained. However, there was no correlation between the accuracy of the fracture reduction considering a gap and step \2 mm and the development of arthritis.

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Section: Discussionmentioning

confidence: 99%

7-year follow-up after open reduction and internal screw fixation in Bennett fractures

Leclère

Jenzer

Hüsler

et al. 2012

Arch Orthop Trauma Surg

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“…15 However, achieving complete reduction was usually difficult. 16 Lisa and Paul 6 recommended using 2 Kirschner wires to pin the first metacarpal to the adjacent metacarpal as well as to the first CMC joint. Usually, ORIF is indicated for fractures with residual displacement of 1 mm or more.…”

Section: Discussionmentioning

confidence: 99%

“…Many surgeons recommended that Bennett fractures be treated with ORIF to obtain complete reduction under direct visualization. 13,16,17 Although good results can be obtained in most cases, loss of joint congruity and redisplacement are possible. Galnlu et al 18 advocated fixation of the volar fragment to the first metacarpal using a mini-screw through a direct volar approach.…”

Section: Discussionmentioning

confidence: 99%

“…We realize that the size of the volar fragment may vary between the plain x-ray, fluoroscopy, and direct examination, but the variations of the measurements are often limited. 16 The current study does not include patients with small volar fragments (Ͻ20% of the joint surface on the lateral view) and comminuted fractures. If the fragment can be captured by the Kirschner wire, a small fragment would not be a contraindication for the technique.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of a Bennett Fracture Using Tension Band Wiring

Zhang

Shao²,

Zhang³

et al. 2012

The Journal of Hand Surgery

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“…Although all fractures were judged to be adequately reduced under fluoroscopy, the actual postoperative step-off averaged 2 mm, and the average articular displacement averaged 3 mm. 29 In some instances, the fracture must be opened to achieve an acceptable reduction. A modified Wagner incision is made (Fig.…”

Section: Fixation Of Bennett and Rolando Fracturesmentioning

confidence: 99%

Practical Management of Metacarpal Fractures

Ben‐Amotz

Sammer

2015

Plastic and Reconstructive Surgery

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Metacarpal fractures can often be treated nonoperatively, although some fractures will benefit from surgical treatment. Although there is some high-level evidence to guide decision-making, there are many clinical scenarios for which there is little high-quality applicable research. As a general principle, the treatment option that achieves the desired reduction and degree of fixation, allows early motion, and minimizes soft-tissue injury should be preferred.

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Accuracy of Fluoroscopy in Closed Reduction and Percutaneous Fixation of Simulated Bennett's Fracture

Cited by 36 publications

References 13 publications

7-year follow-up after open reduction and internal screw fixation in Bennett fractures

7-year follow-up after open reduction and internal screw fixation in Bennett fractures

Treatment of a Bennett Fracture Using Tension Band Wiring

Practical Management of Metacarpal Fractures

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