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255096

HOW TO AVOID HAND STIFFNESS IN METACARPAL FRACTURES?

Article

Last updated: 23 Jan 2023

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Abstract

Objective: The purpose of this study was to evaluate the incidence of hand stiffness and range of motion
in patients with metacarpal fractures treated with internal fixation by low profile osteo-synthesis (Miniplates).
Materials and methods: A prospective study including thirty-six patients with metacarpal fracture
was carried out in the period between June 2018 and June 2019 at Sohag University Hospital. All these
36 patients underwent internal fixation of metacarpal fracture by mini-plates. Evaluation of pain
measured on a visual analog scale (VAS), active range of motion (ROM); and grip strength and
postoperative follow up is up to one year.
Results: Group of patients including thirty-six patients with
metacarpal bone fractures underwent internal fixation by mini plate, the mode of trauma was Motor car
accident in 26 cases (72.2%) and Assault in six cases (16.7%) hitting hard objects was in 4 cases
(11.1%). No complications were reported in our cases except one case (2.8%) with wound dehiscence
which improved with daily dressing and good antibiotics.
Conclusion: Mini-plate and screws fixation of
metacarpal fractures produces anatomical reduction of fractures with stabilization that is rigid enough to
allow early mobilization, thereby preventing stiffness and hence good functional results


DOI

10.21608/ejor.2022.255096

Keywords

Metacarpal, Mini plate, Motor car accident, Hand, fracture

Authors

First Name

Hassan

Last Name

Noaman

MiddleName

-

Affiliation

Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

hassan_h@mailcity.com

City

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Orcid

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First Name

Mohamed

Last Name

Abd-Ellah

MiddleName

-

Affiliation

Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

-

Orcid

-

First Name

Yasser

Last Name

Soroor

MiddleName

-

Affiliation

Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

dryasserothman@gmail.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

36238

Issue Date

2022-05-01

Receive Date

2022-02-13

Publish Date

2022-05-01

Page Start

23

Page End

30

Print ISSN

2682-4744

Online ISSN

2314-6710

Link

https://ejor.journals.ekb.eg/article_255096.html

Detail API

https://ejor.journals.ekb.eg/service?article_code=255096

Order

4

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,828

Publication Type

Journal

Publication Title

Egyptian Journal of Orthopedic Research

Publication Link

https://ejor.journals.ekb.eg/

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Article

Created At

23 Jan 2023