Operation outcomes of metacarpal and phalangeal fracture fixation usingplates and screws at Thai Nguyen Central Hospital
Nội dung chính của bài viết
Tóm tắt
Objective: To evaluate the surgical outcomes of metacarpal and phalangeal fracture fixation using plates and screws at Thai Nguyen Central Hospital.
Subjects and methods: A retrospective descriptive cross-sectional study was conducted on 120 patients with metacarpal and phalangeal fractures treated at Thai Nguyen Central Hospital.
Results: Postoperatively, 96.7% of fractures achieved anatomical alignment with complete reduction. According to the Larson Bostman criteria for early postoperative evaluation, 84.2% of patients had excellent results, 15% good, and 0.8% fair. After three months, bone union was achieved in 98.3% of cases, with delayed union observed in two patients (1.7%). At the three-month follow-up, 85% of patients demonstrated good hand mobility, while 15% showed mild movement limitation. Based on the Belsky criteria for overall outcomes at three months, 79.2% of patients had excellent results, 20% good, and 0.8% not good.
Conclusion: Bone fixation with plates and screws is an effective surgical method for treating metacarpal and phalangeal fractures.
Chi tiết bài viết
Từ khóa
Fracture, metacarpal, phalangeal, plate and screw fixation, surgery
Tài liệu tham khảo
2. Dung PD, Thanh TV. Evaluation of outcomes in metacarpal fractures treated with transverse Kirschner wire fixation. Journal of Community Medicine. 2024;65(Suppl CD1 - Hand Surgery Section).
3. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. Journal of Trauma and Acute Care Surgery. 1984;24(8):742-6.
4. Dung MD, Tan VD, Huyen NTV, Trang TQ. Outcomes of metacarpal and phalangeal fracture fixation using locking plates at Thai Nguyen National Hospital. TNU J Sci Technol. 2019;207(14):243-8.
5. Page SM, Stern PJ. Complications and range of motion following plate fixation of metacarpal and phalangeal fractures. The Journal of hand surgery. 1998;23(5):827-32.
6. Hung LM, Nhan BV, Duong NH. Evaluation of surgical outcomes of closed metacarpal and phalangeal fractures treated with plate fixation at Lam Dong General Hospital. Vietnam Journal of Science and Technology, Series B. 2023;65(3, Special Issue).
7. Duoc LM. Preliminary evaluation of surgical outcomes of metacarpal fractures treated with plate fixation. Can Tho Journal of Medicine and Pharmacy. 2023;63:43-8..
8. Son TN. Outcomes of metacarpal and phalangeal fracture treatment using locking plates at Thai Nguyen National Hospital [Resident doctor thesis]. Thai Nguyen: University of Medicine and Pharmacy, Thai Nguyen University; 2020.