Implants of pure titanium for internal fixation of the peripheral skeleton

Pfeiffer, Karl M.; Brennwald, J; Büchler, U; Hanel, Douglas P.; Jupiter, Jesse B.; Lowka, K; Mark, Jayankura; Staehlin, P

doi:10.1016/0020-1383(94)90108-2

Cited by 17 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subsequent series have shown effective fixation with smaller implants. 38 We routinely use 2.4-mm plates for border digits and multiple metacarpal fractures and 2.0-mm implants for smaller patients and those unstable fractures of the middle and ring finger not amenable to the K-wire techniques mentioned earlier. The use of fixed angle devices such as condylar blade plates provides rigid fixation in which fragment size accommodates only one screw ( Figs 8A and 8B).…”

Section: Open Reduction Internal Fixation With Plate and Screwsmentioning

confidence: 99%

See 1 more Smart Citation

Metacarpal fractures

Weinstein

Hanel

2002

Journal of the American Society for Surgery of the Hand

View full text Add to dashboard Cite

The majority of metacarpal fractures are closed injuries amenable to conservative treatment with external immobilization and subsequent rehabilitation. Internal fixation is favored for unstable fracture patterns and patients who require early motion. Percutaneous pinning usually is successful for metacarpal neck fractures and comminuted head fractures. Shaft and base fractures can be treated with pinning or open reduction and internal fixation; the latter, being more rigid, allows early rehabilitation. External fixation has a limited yet defined role for metacarpal fractures with complex soft-tissue injury and/or segmental bone loss. The recent development of bioabsorbable implants holds promise for skeletal rigidity with minimal soft-tissue morbidity, but long-term in vivo data supporting the use of these implants is not currently available.

show abstract

Section: Open Reduction Internal Fixation With Plate and Screwsmentioning

confidence: 99%

“…Deliberate intraoperative interventions include selecting low-profile implants, confirming appropriate screw lengths and tendon excursion after fixation, and interposition of periosteum or soft tissue between the plate and the extensor mechanism. 38,40…”

Section: Open Reduction Internal Fixation With Plate and Screwsmentioning

confidence: 99%

Metacarpal fractures

Weinstein

Hanel

2002

Journal of the American Society for Surgery of the Hand

View full text Add to dashboard Cite

show abstract

“…Bioabsorbable plates show stability comparable to that attained with titanium constructs, according to studies in cadaveric and animal models. Future research examining the use of these techniques in hand surgery may shed light on when they should be used for metacarpal fractures (12,19,25,26).…”

Section: Metacarpal Shaft Fracturesmentioning

confidence: 99%

Anatomy, Epidemiology, Diagnosis, Management and Treatment of the Metacarpal Fractures

García¹,

Pesántez²,

Vélez³

et al. 2023

EPRA

View full text Add to dashboard Cite

Introduction: The fracture of the neck of the fifth metacarpal, also known as boxers fracture, is one of the most frequent traumatic pathologies seen in the emergency department and is usually treated with conservative measures. The fifth metacarpal is the most frequently fractured, representing almost 25% of all metacarpal fractures and 10% of all fractures. Objective: to define and explore the anatomy, epidemiology, approach, diagnosis, management and treatment of metacarpal fractures. Methodology: a total of 40 articles were analyzed in this review, including review and original articles, as well as cases and clinical trials, of which 26 bibliographies were used because the information collected was not important enough to be included in this study. The sources of information were Cochrane, PubMed and Google Scholar, SciElo; the terms used to search for information in Spanish, Portuguese and English were: fractura del boxeador, fratura do metacarpo, fracture of the fifth metacarpal and boxers fractures. Results: About 30% of all hand fractures and 18% of all below-elbow fractures are metacarpal fractures. Small-finger neck fractures and ring-finger shaft fractures are among the most frequent metacarpal fractures.To diagnose the boxers fracture and evaluate the degree of angulation, plain radiographs are the gold standard. Fractures with significant angulation require closed reduction and splinting. Surgical management can result in hardware-related issues such as adhesions, infection, and tendon rupture, whereas a more conservative approach may result in malunion or stiffness due to immobilization. Conclusions: Uncomplicated fractures of the fifth metacarpal are usually treated with immobilization and splinting or neighboring strapping, with a comparable degree of functional outcome. In Metacarpal head fractures nonoperative treatment options include immobilization in the intrinsic plus position. Small finger metacarpal neck fractures are the most typical and are frequently referred to as boxers fractures. Metacarpal fractures that have no associated rotational deformity can typically be managed conservatively with immobilization and serial radiographs. The use of the Jahss maneuver can result in reduction of fractures with rotational deformity or pseudoclawing. The most common types of metacarpal shaft fractures are transverse fractures, oblique fractures, and comminuted fractures. Operative intervention should be taken into consideration if there is pseudoclawing, rotational deformity, significant metacarpal shortening, or a noticeable dorsal deformity. Despite being a rare injury, intra-articular base fractures of the index- through ring-finger metacarpals have been suggested to be an underreported and misdiagnosed condition. Complications related to these injuries are prevalent and may result from surgical or non-surgical treatment of the initial injury. KEYWORDS: fracture of the fifth metatarsal, Boxers Fracture, hand injury.

show abstract

“…

Rigid internal fixation of fractures in the hand using mini-plates allows rapid rehabilitation and recovery (Chen et al, 1994). However, there are many plating systems and the results obtained using the various systems differ significantly (Büchler and Fischer, 1987;Pfeiffer et al, 1994;Puckett et al, 1992).Earlier small fragment miniplating systems designed for hand surgery employed stainless steel plates and screws. These were too large to be of use in fractures distal to the metacarpophalangeal joints (MCPJ) and required secondary plate removal in up to 75% of cases (Büchler & Fischer, 1987;Puckett et al, 1992).

…”

mentioning

confidence: 99%

“…Rigid internal fixation of fractures in the hand using mini-plates allows rapid rehabilitation and recovery (Chen et al, 1994). However, there are many plating systems and the results obtained using the various systems differ significantly (Büchler and Fischer, 1987;Pfeiffer et al, 1994;Puckett et al, 1992).…”

mentioning

confidence: 99%

The Role of Low-Profile Titanium Miniplates in Emergency and Elective Hand Surgery

O'Sullivan

Limantzakis

Kay

1999

Journal of Hand Surgery

View full text Add to dashboard Cite

We report our experience of a low-profile mini-plating system in the treatment of fractures of the hand in 57 consecutive patients (five children and 52 adults). Thirteen procedures were performed electively, and 44 procedures were performed on an emergency basis. Indications for plating included fixation of metacarpal (36) and phalangeal (eight) fractures, bony fixation following rotation osteotomy (six) digital replantation (two) or free toe transfer (two). Seventeen patients had postoperative problems, including restricted range of motion (12), rotation deformity (two), significant cold intolerance (two) or fracture (two). Plate removal was required in seven patients, twice as a result of a second injury, and plate removal was unsuccessfully attempted in one other patient. Two patients required extensor tenolysis. We have found this system to be useful for bony fixation in the hand. However, as with other methods of internal fixation in the hand, there may be complications.

show abstract

Implants of pure titanium for internal fixation of the peripheral skeleton

Cited by 17 publications

References 3 publications

Metacarpal fractures

Metacarpal fractures

Anatomy, Epidemiology, Diagnosis, Management and Treatment of the Metacarpal Fractures

The Role of Low-Profile Titanium Miniplates in Emergency and Elective Hand Surgery

Contact Info

Product

Resources

About