Mini-plate screw treatment of metacarpal and phalangeal fracture 18 cases.doc

 PAGE \* MERGEFORMAT 5 Mini-plate screw treatment of metacarpal and phalangeal fracture 18 cases [Keywords:] metacarpal and phalangeal fracture fixation with mini-plate screws Metacarpal and phalangeal fractures are the most common fractures, mostly multiple injuries, a lot of treatment methods, such as small plywood, gypsum, Kirschner wire, steel wire, external fixation methods such as safe, simple, and some do not need to remove the second surgery, but often Fixed not reliable, not early activity, care is not convenient, Kirschner wires are loose and slip, after supporting cast to be caused by loss of function of fixed and other shortcomings. surgical hospital from January 2002 to December 2006, using micro-plate screw fixation of metacarpal and phalangeal fractures, 18 cases were followed up for 4 to 18 months, bone union, results were satisfactory, the report is as follows. Materials and Methods 1. General Information The group of 18 patients, 13 males and 5 females, aged 18 to 61 years, mean 27 years old. Metacarpal fractures in 11 cases 15, 7 cases of 11 phalangeal fractures, injuries to the operation time is 6-3 hours. Fractures type, cross-sectional 10, oblique or spiral 11, comminuted 5. which 18 of 11 cases of open, closed 7 cases 8. 2. Treatment All patients with brachial plexus anesthesia and surgery under tourniquet pressure, open fracture wound into the exposure as much as possible from the original fracture, closed fracture to fracture as the center, curved or S-shaped incision of the dorsal skin, subcutaneous tissue and tendon tissues, attention to protecting the blood vessels, nerves, such as crush fractures, debridement of bone fragments as far as possible to retain small, to reduce the fracture after reduction of the gap left behind, to avoid instability in the fracture after a reset, if necessary, desirable vegetation iliac bone, periosteal stripping appropriate, Manipulation of fracture and bone plate placed on the ba