Of metacarpal and phalangeal fracture fixation Methods.doc

 PAGE \* MERGEFORMAT 7 Of metacarpal and phalangeal fracture fixation Methods [Abstract] Objective To compare the analytical applications Kirschner, wire binding and micro-plate and screw fixation method of treatment of three kinds of metacarpal and phalangeal fractures. Methods Retrospective analysis of 65 cases of metacarpal and phalangeal fractures, depending on fracture location and the nature of the ordinary K-wire, micro-plate, wire, etc. alone or in combination effects. Results In 65 patients with selection of suitable fixation materials, indeed the effective fixed fracture site, accompanied by a corresponding function of practice, 58 patients with satisfactory functional recovery. Conclusion Kirschner, wire and mini-plates have their own advantages and disadvantages, should follow the joint will not damage surrounding tissue or tendon tissues, without adding to the original principles of fracture, according to the location and extent of fractures in different a different internal fixation were selected. Of metacarpal and phalangeal fractures in the hand is very common injury, there are many treatment methods, this article summarizes from 2004 to 2008 10 months 65 patients admitted to our department of metacarpal and phalangeal fractures of the cases, according to the patient’s specific situation of the economy and fractures, respectively, given with open reduction and Kirschner, wire binding, AO mini plate and screw fixation, or in combination, through treatment and follow-up cases, comparative analysis of three methods of internal fixation indications, advantages and disadvantages. 1 Data and methods 1.1 General Information Undergraduate metacarpal and phalangeal fractures treated 65 patients (82 index), in which male and 35 cases (43 index), female 30 cases (39 index), age 17-72 years (mean 34.5 years); weight crushed 44 refers to Cut wounds 15 refers to the collision that injured 23; 53 cases of single fracture, multiple fractures of 12 cases; 49