Stable intramedullary osteosynthesis for fractures of the metacarpal bones and phalanges of the fingers

Abstract

Treatment results of 287 patients with diaphyseal fractures of basidigital bones and phalanges using stable intramedullar osteosynthesis is analyzed. There were 77 patients (26.8%) with open fractures, 110 patients (38.3%) with closed fractures, 53 patients (18.5%)) with composite fractures and 47 patients (16.4%)) with ununited and irreducible fractures. Conduction anesthesia of the median and ulnar nerves in lower third of forearm or brachial plexus in axilla was the optimum method. The technique of stable intramedullar osteosynthesis with pins was described. For the restoration of adequate wrist function in ununited and irreducible fractures as well as in composite fractures distraction was used as the first stage of treatment. After distraction of fragments with hypercorrection by 5-8 mm the intramedullar osteosynthesis was performed. Good results were achieved in 93.9% of cases.