Minimally invasive surgical treatment for unstable fractures of the proximal phalanx: intramedullary screw

Aita, Márcio Aurélio; Mos, Paulo Augusto Castro; Leite, Gisele de Paula Cardoso Marques; Alves, Rafael Saleme; Credídio, Marcos Vinicius; Costa, Eduardo Fernandes da

doi:10.1016/j.rboe.2015.12.005

Cited by 8 publications

(12 citation statements)

References 24 publications

(38 reference statements)

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“…This allows less destruction of the periosteum and less surgical time. Another advantage is the lower scar adhesion of the extensor mechanism and less irritability of the implant, observed in the use of osteosynthesis with plate and screws 1–4,6–8…”

Section: Discussionmentioning

confidence: 99%

Corrective Fifth Metacarpal Neck Osteotomy and Intramedullary Screw Fixation Technique: Technique and Case Report

Rezende

Shimaoka²,

Mandarano-Filho³

et al. 2021

Techniques in Hand &Amp; Upper Extremity Surgery

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Malunion of metacarpal fractures can result in severe functional and esthetic impairment to the patient, thus requiring surgical correction. Traditionally, the fixation methods most commonly used for these fractures are the Kirschner wires or the plates and screws. However, one of the options for the fixation of metacarpal fractures is intramedullary fixation with a headless screw. This minimally invasive method can also be used for corrective metacarpal osteotomies. It has the advantages of being a minimally invasive technique and allowing the early range of motion. This minimally invasive method can also be used to stabilize the corrective metacarpal osteotomies for malunion. This case report presents a minimally invasive technique for corrective dorsal metacarpal osteotomy and fixation with a headless intramedullary screw. This alternative fixation method has the advantage of low damage to soft tissues and good functional outcomes.

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Section: Discussionmentioning

confidence: 99%

Corrective Fifth Metacarpal Neck Osteotomy and Intramedullary Screw Fixation Technique: Technique and Case Report

Rezende

Shimaoka²,

Mandarano-Filho³

et al. 2021

Techniques in Hand &Amp; Upper Extremity Surgery

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“…Our clinical and functional results are similar to those found in several series published in recent years, showing satisfactory results with this type of treatment. [5][6][7]18,19 The surgical treatment of the metacarpal has been very effective, with results close to 100% mobility.…”

Section: Discussionmentioning

confidence: 99%

“…Internal fixation involves soft tissue dissection, which consequently causes scar tissue to appear on the osteosynthesis plate and on the focus of the fracture, facilitating the tenodesis effect. 4 To achieve adequate fixation of the fracture, and following the experience of other authors [5][6][7] we use retrograde intramedullary cannulated screws in the treatment of fractures of the metacarpals and of the proximal and middle phalanxes. This technique provides rigid fixation and compression of the focus, with minimal soft tissue involvement.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Osteosynthesis with Headless Cannulated Screws in the Treatment of Metacarpal and Proximal and Middle Phalanxes Fractures of the Hand

Casal

Vegas

Díez

et al. 2018

Rev Iberoam Cir Mano

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Introduction There is a high incidence of hand fractures, and a high percentage of them require surgical treatment. The functional result depends, to a large extent, on the technique used. The use of retrograde intramedullary screws allows for early mobilization and minimal dissection of soft tissues. The objective of the present study is to analyze the clinical results and complications with this type of osteosynthesis. Methods A total of 96 fractures in 81 patients were analyzed. There were 62 metacarpal fractures, 60% of which involved the 5th finger, 29% involved the 4th, 5% involved the 3rd, and 6% involved the 2nd finger. There were 34 fractures of the phalanxes, 27 of which (79.5%) involved the proximal phalanx, and 20.5% involved the middle phalanx. The range of active mobility, the time spent at work, and intraoperative complications were assessed. Results The average active mobility obtained was 260° (230–270°). Patients resumed their 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 postoperative complications in the metacarpals, and an 8% rate of intraoperative complications and 11% of postoperative complications in the phalanxes. Conclusion The use of cannulated screws is a safe and effective option for the treatment of different types of fractures, obtaining a good range of mobility, early reintegration, and with an acceptable number of complications.

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“…Choose a reproducible and effective method, which presents a cost / benefit compatible with our reality. [5][6][7] The goal of the present study is to compare the returnto-work time, visual analogue scale (VAS) score, disability of the arm, shoulder, and hand (QuickDASH) score, complications rate, and radiographic outcomes of two methods of definitive internal fixation in active patients with boxer's fractures, operated in the first week.…”

Section: Introductionmentioning

confidence: 99%

Fixação intramedular com parafusos de compressão versus técnica do buquê em fraturas instáveis do colo do metacarpo em pacientes ativos: Ensaio clínico randomizado

Aita

Oliveira

Biondi

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Comparar a amplitude de movimento (ADM), o tempo de retorno de trabalho, a pontuação na escala visual analógica (EVA), o escore no questionário abreviado incapacidade do braço, ombro e mão (QuickDASH, na sigla em inglês) e os resultados radiográficos de dois métodos de fixação interna definitiva em pacientes ativos com fraturas do boxer; operados na primeira semana. Métodos Este foi um ensaio prospectivo randomizado, no qual 50 pacientes, com idade mediana na faixa de 18 a 40 anos, foram randomizados e tratados com fixação intramedular definitiva utilizando 2 parafusos de compressão (n = 20) ou buquê (2 ou 3 fios de Kirschner) (n = 20). Os pacientes foram avaliados em relação ao tempo de retorno ao trabalho, à ADM, ao desfecho relatado pelo paciente no questionário QuickDASH, à EVA e à avaliação radiográfica aos 6 meses. Resultados Aos 6 meses, não houve diferenças entre os 2 grupos em termos de ADM, dor pós-operatória (EVA) ou escore no QuickDASH. A taxa global de complicações foi de 4,76% no grupo de fixação com parafusos, em comparação com 5% no grupo de fixação com a técnica do buquê. Conclusões Parafusos de compressão e fixação com buquês provaram ser tratamentos seguros e confiáveis para pacientes ativos com fraturas instáveis. Os resultados foram semelhantes nos dois grupos.

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Minimally invasive surgical treatment for unstable fractures of the proximal phalanx: intramedullary screw

Cited by 8 publications

References 24 publications

Corrective Fifth Metacarpal Neck Osteotomy and Intramedullary Screw Fixation Technique: Technique and Case Report

Corrective Fifth Metacarpal Neck Osteotomy and Intramedullary Screw Fixation Technique: Technique and Case Report

Percutaneous Osteosynthesis with Headless Cannulated Screws in the Treatment of Metacarpal and Proximal and Middle Phalanxes Fractures of the Hand

Fixação intramedular com parafusos de compressão versus técnica do buquê em fraturas instáveis do colo do metacarpo em pacientes ativos: Ensaio clínico randomizado

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