Micro-anatomical plate of metacarpal and phalangeal fracture treatment.docVIP

 PAGE \* MERGEFORMAT 6 Micro-anatomical plate of metacarpal and phalangeal fracture treatment [Keywords:] micro-anatomical board metacarpal and phalangeal fractures Metacarpal and phalangeal fractures are common in the field of hand surgery as a fracture, its incidence is very high, but also easily left hand dysfunction. Our department between 2005 and 2007 were applied micro-anatomical plate for treatment of hand surgery metacarpal and phalangeal fractures of hand 30 cases of fracture healing and functional recovery after a good satisfactory effect, are as follows. 1 Materials and Methods 1.1 General Information The group of 30 patients, 21 males and 9 females, aged 17 to 51 years, average 33.4 years of age. Injury: Factory injured in 15 cases, 10 cases of hit and wounded, injured in 3 cases, 2 traffic accidents cases. injury site: metacarpal fractures in 15 cases, including metacarpal bone in 1 / 3 fractures in 5 cases, 3 cases of fractures near the head, near the base of the fracture in 7 cases. phalanx fractures in 15 cases, 5 cases of fracture near the base, shaft fracture in 7 cases near the head fracture in 3 cases. The group 3 were old fractures and the rest are fresh fractures. including 10 cases of emergency surgery, 5 ~ 7 d after injury, surgery in 20 cases, transverse fracture in 7 cases, 13 cases of the short oblique fracture , 7 cases of comminuted fracture, open fracture in 3 cases. 1.2 The selection of hand surgery micro surgical materials and internal fixation with anatomic steel plate steel plate and screws. Preoperative X-ray films to be taken to measure the fracture of the metacarpal phalanx length and thickness, in order to choose appropriate anatomical bone plate and screws . 1.3 Surgical treatment of patients with supine position, limb placed in operation on the side table. Selected brachial plexus anesthesia, a tourniquet on the balloon, first debridement of open fractures along the wound or incision into the appropriat