Operation outcomes of metacarpal and phalangeal fracture fixation usingplates and screws at Thai Nguyen Central Hospital

Ma Tu Ben1,, Mai Duc Dung2, Hoang Van Dung3, Dao Trong Quan2
1 rung Khanh Hospital, Cao Bang Province
2 Thai Nguyen University of Medicine and Pharmacy
3 Thai Nguyen National Hospital

Main Article Content

Abstract

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.

Article Details

References

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