• J Hand Surg Eur Vol · Feb 2006

    External fixation of closed metacarpal and phalangeal fractures of digits. A prospective study of one hundred consecutive patients.

    • K Margić.
    • Department of Plastic and Reconstructive Surgery, General Hospital, Sempeter pri Gorici, Slovenija. Krunoslav.Margic@guest.arnes.si
    • J Hand Surg Eur Vol. 2006 Feb 1;31(1):30-40.

    AbstractStable and undisplaced phalangeal and metacarpal fractures treated with strapping or functional splinting and controlled active exercises offer from about 70 to 80% of good results. The goal of treatment of closed unstable and displaced fractures should be to achieve similar or better outcome. External fixation combines the simplicity of time-honoured fixation with K-wires and an external frame to increase rigidity. This combination was used in a prospective study of 100 consecutive patients with closed fractures of the proximal and middle phalanges and the distal three-quarters of the metacarpal bones. Good clinical results (TAM > or = 230 degrees) were obtained in 76% of isolated phalangeal fractures, in all metacarpal fractures and in 89% of multiple fractures.

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