Use of a Minicondylar Plate for Metacarpal and Phalangeal Periarticular Injuries

Büchler, U; Fischer, Tin

doi:10.1097/00003086-198701000-00009

Cited by 78 publications

(26 citation statements)

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“…(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32) A study by Souer et al (33) showed good functional outcome by total active motion more than 230 0 in 18 of 19 patients for whom plate fixation was done in closed unstable metacarpal fractures. Another study by Gupta et al (11) showed excellent functional outcome with total active movements more than 230 0 in all of his patients of unstable metacarpal fractures treated with plate fixation.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

Pugalenthi¹,

K²,

Thanappan³

et al. 2017

jemds

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BACKGROUNDMetacarpal fractures are common in adolescents and young active individuals. Mostly these are treated by conservative methods. In unstable fractures where closed reduction and final outcome are unsatisfactory, there are multiple surgical options for treating metacarpal fractures like K-wire fixation, interosseous wiring, plate osteosynthesis, etc. In this study, we assess functional outcome of closed metacarpal fractures treated with plates and screws. MATERIALS AND METHODSBetween 2014 and 2016, 20 cases of closed metacarpal fractures were studied. Fracture was approached by dorsal incision. Plate configurations were chosen according to the fracture pattern (straight plate for shaft fractures, T or L configured plates were used for periarticular fractures) and fixed with screws. Post-operative physiotherapy and followup carried out. RESULTSIn our study, all the cases showed bone union (100%). The functional result assessed by American Society for Surgery of the Hand (ASSH) Total Active Flexion score showed excellent result in 80% of the patients (16 of 20 cases), good in 10% of cases (2 of 20 cases). Stable and rigid fixation allowed early mobilisation of fingers thereby preventing stiffness and achieved overall good functional results. Although there were 10% (2 cases) of superficial infections, all settled with regular dressing and antibiotics without affecting final functional outcome. The overall results are satisfactory. CONCLUSIONPlate and screw fixation is a good option for treating closed unstable metacarpal fractures, where other modalities of fixation are less effective. The rigid stable fixation provided by plating which withstands load without failure allowed early mobilisation and achieved good functional results.

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Section: Discussionmentioning

confidence: 99%

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

Pugalenthi¹,

K²,

Thanappan³

et al. 2017

jemds

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“…The fixed-angle blade of the minicondylar blade plate may provide more reliable fixation in metaphyseal bone than screws. 7,8 To our knowledge there are no large series reporting the use of this plate for the fixation of the distal ulna and few reporting the treatment of fractures of the ulnar neck associated with fractures of the distal radius. This article reviews our experience with minicondylar blade plate fixation of unstable fractures of the distal ulna associated with fracture of the distal radius.…”

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confidence: 99%

Condylar blade plate fixation of unstable fractures of the distal ulna associated with fracture of the distal radius

Ring¹,

McCarty²,

Campbell³

et al. 2004

The Journal of Hand Surgery

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“…[24] The use of miniplates is reserved for fractures with comminution, bone loss and in cases of complex hand trauma. [10,12,13,16,27,30,31,34,48] Tension band wiring has also been considered by some authors for fixation of these fractures. [3,31] Melone cautioned against indiscriminate use of rigid internal fixation using plates and screws or tension band wires as it is exceedingly difficult in small bones with delicate soft tissue envelope.…”

Section: Surgical Techniquementioning

confidence: 99%

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

Memon

Patankar

Nagori

2018

Int Jour of Biomed Res

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Background: Fifth metacarpal neck fractures, also known as Boxer's fractures, commonly occur as a result of axial impact on a clenched fist. There is no agreement over the optimum management of undisplaced boxers fracture. We present the results of treatment by a Bouquet technique, described by Foucher in 143 consecutive cases of displaced fifth metacarpal neck fractures. Methods: We retrospectively reviewed our records for 143 consecutive cases of fifth metacarpal neck fractures treated with Bouquet technique. Clinical and radiological evaluation was done at 6 weeks, 12 weeks and 6 months. Total active motion of the fifth digit, radiography and complications if any were noted. Results: Of 143 cases, there were 113 cases with closed reduction and 30 with open reduction. Radiological union was achieved in 140 cases. Remaining 3 were lost to follow up. Good to excellent result was achieved in 95% cases. Seven cases developed bursitis at the K-wire entry site which required k-wire removal. Conclusion:The technique of flexible antegrade intramedulary nailing of fifth metacarpal neck fractures is simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complications.

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Use of a Minicondylar Plate for Metacarpal and Phalangeal Periarticular Injuries

Cited by 78 publications

References 0 publications

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

Functional Outcome of Closed Metacarpal Fractures Treated With Mini Fragment Plates and Screws

Condylar blade plate fixation of unstable fractures of the distal ulna associated with fracture of the distal radius

“Bouquet technique” for displaced boxers fracture: Surgical technique and outcomes in143 consecutive cases

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