Beta
ManageSearchChatDiscover
120443

Mini External Fixator for Management of Fracture Metacarpals and Phalanges of the Hand

Article

Last updated: 03 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

-

Abstract

Background: Fractures of metacarpals and phalanges are the most common fractures of the upper extremity. Objective: The aim of this study was to assess the functional outcomes of management of metacarpal and phalangeal fractures by mini external fixator.
Patients and Methods: This prospective study included a total of 12 patients with fractures of metacarpals and phalanges, attending at Orthopedics and Traumatology Departments, Zagazig and Helwan University Hospitals. This study was conducted between August 2018 and July 2019 and was done to assess the functional outcomes of metacarpal and phalangeal fractures fixed by mini external fixator.
Results: In this study there was good union time among studied group with average 8.33±2.1 weeks. One case (8.3%) had pin tract infection and one case (8.3%) had delayed union >12 weeks, malunion founded in 2 cases (16.7%) and stiffness founded in 3 cases (25%). At the end of the follow up period, two patients (16.7 %) sustained malunion deformities, one patient (8.35%) had rotational deformity and in another patient (8.35%) had angular malunion. Regarding active movement score 75% were acceptable results (Excellent and Good) and 25% were not acceptable results (Fair and Poor). There was significant association between acceptability of outcome and deformity, as 66.7% of not accepted result had deformity while no one from accepted outcome had deformity. Conclusion: Use of mini external fixator is an adequate procedure for unstable phalangeal and metacarpal fractures. In cases of open fractures, the mini external fixator allows wound inspection and care and avoidance of hardware application at fracture site.

DOI

10.21608/ejhm.2020.120443

Keywords

Metacarpal and Phalangeal Fractures, Mini External Fixator

Authors

First Name

Ahmed Al Saeed

Last Name

Abd Allah

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Egypt

Email

-

City

-

Orcid

-

First Name

Khaled Idrees

Last Name

Abd Al Rahman

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Egypt

Email

-

City

-

Orcid

-

First Name

Mohammed El Sadek

Last Name

Attia

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed Mohammed

Last Name

Abdel Wahab

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Egypt

Email

-

City

-

Orcid

-

Volume

81

Article Issue

4

Related Issue

18005

Issue Date

2020-10-01

Receive Date

2020-10-26

Publish Date

2020-10-01

Page Start

1,785

Page End

1,788

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 4_Pages 1785-1788.pdf

PDF . 516.0kB

Link

https://ejhm.journals.ekb.eg/article_120443.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=120443

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Mini External Fixator for Management of Fracture Metacarpals and Phalanges of the Hand

Details

Type

Article

Created At

22 Jan 2023