Mini-plate for treatment of metacarpal fractures of the clinical application of.doc

 PAGE \* MERGEFORMAT 6 Mini-plate for treatment of metacarpal fractures of the clinical application of [Abstract] fracture, rather than the adjacent tendon, ligament, joint capsule due to their own injury and often result in adhesion or a fixed contracture, thus affecting the recovery of joint function, mini-plate fixation of metacarpal fractures after external fixation time can be shortened, early functional exercise will help patients to restore hand function; less postoperative infection, care and convenience. [Keywords:] mini-plate; fracture; metacarpal Metacarpal fractures in clinical hand injury is more common, accounting for 1.4 hand injuries. Fracture predilection in 2 ~ 5 metacarpal bones, of which 3,4 metacarpal-prone. Treatment of metacarpal fractures, early sound reduction and reliable fixation to the end to restore hand function is essential, such as improper handling can cause hand function disability, affect people’s quality of life. Now tend to use metacarpal fracture fixation method to achieve anatomic reduction, fixed and reliable, non-invasive operation to reduce tendon, nerve and blood circulation of fracture injury purposes. Clinical Practice has proved that mini-plate fixation is the treatment of metacarpal fractures more reliable method. An indication Metacarpal fractures after open reduction and internal fixation of the indications [1]: (1) multiple fractures or a soft tissue injury; (2) a clear shift of the transverse, short oblique or spiral fracture; (3) of comminuted intra-articular fractures and joints around the fracture; (4) of comminuted fracture of shortening and rotation; (5) those who have bone defects. Right metacarpal fractures, the choice of treatment should also take full account of the patient’s occupation, such as doctors, computer operators and music workers, opponents of the fine motor demanding professionals, the surgical indications can also be relaxed. Two surgical methods Brachial plexus anesthesia, ball