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Year 2019, Volume: 36 Issue: 4, 105 - 111, 02.03.2020

Abstract

References

  • Başar, H., et al. (2015). "Comparison of treatment of oblique and spiral metacarpal and phalangeal fractures with mini plate plus screw or screw only." Archives of orthopaedic and trauma surgery 135(4): 499-504.
  • Belsky, M. R., et al. (1984). "Closed reduction and internal fixation of proximal phalangeal fractures." Journal of Hand Surgery 9(5): 725-729.
  • Desaldeleer-Le Sant, A.-S., et al. (2017). "Surgical management of closed, isolated proximal phalanx fractures in the long fingers: Functional outcomes and complications of 87 fractures." Hand Surgery and Rehabilitation 36(2): 127-135.
  • Drenth, D. and H. Klasen (1998). "External fixation for phalangeal and metacarpal fractures." J Bone Joint Surg Br 80(2): 227-230. Ebinger, T., et al. (1999). "Dynamic treatment of displaced proximal phalangeal fractures." Journal of Hand Surgery 24(6): 1254-1262.
  • Faruqui, S., et al. (2012). "Percutaneous pinning of fractures in the proximal third of the proximal phalanx: complications and outcomes." Journal of Hand Surgery 37(7): 1342-1348.
  • Franz, T., et al. (2012). "Extra-articular fractures of the proximal phalanges of the fingers: a comparison of 2 methods of functional, conservative treatment." Journal of Hand Surgery 37(5): 889-898.
  • Gaston, R. G. and C. Chadderdon (2012). "Phalangeal fractures: displaced/nondisplaced." Hand clinics 28(3): 395-401.
  • Held, M., et al. (2013). "Conservative treatment of fractures of the proximal phalanx: an option even for unstable fracture patterns." Hand Surgery 18(02): 229-234. Henry, M. H. (2008). "Fractures of the proximal phalanx and metacarpals in the hand: preferred methods of stabilization." JAAOS-Journal of the American Academy of Orthopaedic Surgeons 16(10): 586-595.
  • Horton, T., et al. (2003). "A prospective randomized controlled study of fixation of long oblique and spiral shaft fractures of the proximal phalanx: closed reduction and percutaneous Kirschner wiring versus open reduction and lag screw fixation." Journal of Hand Surgery 28(1): 5-9.
  • Hudak, P. L., et al. (1996). "Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Hand)." American journal of industrial medicine 29(6): 602-608.
  • Kamath, J. B., et al. (2011). "Current concepts in managing fractures of metacarpal and phalangess." Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India 44(2): 203. Kozin, S. H., et al. (2000). "Operative treatment of metacarpal and phalangeal shaft fractures." JAAOS-Journal of the American Academy of Orthopaedic Surgeons 8(2): 111-121.
  • Kurzen, P., et al. (2006). "Complications after plate fixation of phalangeal fractures." Journal of Trauma and Acute Care Surgery 60(4): 841-843.
  • Le Nen, D. (2014). "Extra-articular fractures of the digital metacarpals and phalanges of the long fingers." Chirurgie de la main 33(1): 1-12.
  • Lee, S.-G. and J. B. Jupiter (2000). "Phalangeal and metacarpal fractures of the hand." Hand clinics 16(3): 323-332, vii.
  • Li, G., et al. (2015). "Comparison of Clinical Outcomes of Phalangeal Fracture Treated with Dorsolateral Approach or Post-middle Approach Using AO Mini Titanium Plate." Indian Journal of Surgery 77(2): 657-661.
  • Lins, R. E., et al. (1996). "A comparative mechanical analysis of plate fixation in a proximal phalangeal fracture model." The Journal of hand surgery 21(6): 1059-1064. Lögters, T. T., et al. (2017). "Proximal Phalanx Fracture Management." Hand: 1558944717735947.
  • Meals, C. and R. Meals (2013). "Hand fractures: a review of current treatment strategies." Journal of Hand Surgery 38(5): 1021-1031.
  • Onishi, T., et al. (2015). "Predictors of postoperative finger stiffness in unstable proximal phalangeal fractures." Plastic and Reconstructive Surgery Global Open 3(6).
  • Page, S. M. and P. J. Stern (1998). "Complications and range of motion following plate fixation of metacarpal and phalangeal fractures." Journal of Hand Surgery 23(5): 827-832.
  • Rajesh, G., et al. (2007). "Dynamic treatment for proximal phalangeal fracture of the hand." Journal of Orthopaedic Surgery 15(2): 211-215.
  • Robinson, L. P., et al. (2017). "Dorsal versus lateral plate fixation of finger proximal phalangeal fractures: a retrospective study." Archives of orthopaedic and trauma surgery 137(4): 567-572.
  • von Kieseritzky, J., et al. (2017). "Reoperations and postoperative complications after osteosynthesis of phalangeal fractures: a retrospective cohort study." Journal of plastic surgery and hand surgery 51(6): 458-462.

Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx

Year 2019, Volume: 36 Issue: 4, 105 - 111, 02.03.2020

Abstract

In this study, we aimed to present radiologic and functional outcomes of extra articular proximal phalangeal fractures treated with low profile plate and screw osteosynthesis. The study included 20 patients who had undergone osteosynthesis with low profile plate and non-locking screws due to extra-articular closed proximal phalangeal instable fractures. Clinical and radiologic data were evaluated retrospectively. Postoperative 6th month follow up data were obtained and statistically analyzed. Active and passive range of motion of the metacarpophalangeal and interphalangeal joint; total active motion grip strength of injured and uninjured visual analog scale for pain DASH score have been evaluated, distance between pulpa and palmar curve is measured. Belsky score, presence of reoperation and complications were noted. The mean time to radiologic union was 4.2 (3-6) weeks. Functional evaluation of the patients revealed a mean MCF flexion of 87.3 (75-90), a mean PIP flexion of 94.3 (65-100), mean DIP flexion of 77.6 (75-80), mean total active motion of 259 (210-270) degrees. Grip strength in the injured hand was 52.7 (40-58) kgw, and in the uninjured hand it was 54.4 (42-60) kgw. There was no statistically significant difference in grip strenght (p<0.05). The mean visual analogue scale score was 0.8 (0-2). The mean DASH score was 7 (2-27) and the mean distance between pulpa and palmar curve was 3 (0-8) mm. Open reduction and low-profile plate and screw fixation of proximal phalangeal fracture in treatment of unstable extra-articular fractures of the proximal phalanx with early rehabilitation yields satisfactory functional and radiologic outcomes.

References

  • Başar, H., et al. (2015). "Comparison of treatment of oblique and spiral metacarpal and phalangeal fractures with mini plate plus screw or screw only." Archives of orthopaedic and trauma surgery 135(4): 499-504.
  • Belsky, M. R., et al. (1984). "Closed reduction and internal fixation of proximal phalangeal fractures." Journal of Hand Surgery 9(5): 725-729.
  • Desaldeleer-Le Sant, A.-S., et al. (2017). "Surgical management of closed, isolated proximal phalanx fractures in the long fingers: Functional outcomes and complications of 87 fractures." Hand Surgery and Rehabilitation 36(2): 127-135.
  • Drenth, D. and H. Klasen (1998). "External fixation for phalangeal and metacarpal fractures." J Bone Joint Surg Br 80(2): 227-230. Ebinger, T., et al. (1999). "Dynamic treatment of displaced proximal phalangeal fractures." Journal of Hand Surgery 24(6): 1254-1262.
  • Faruqui, S., et al. (2012). "Percutaneous pinning of fractures in the proximal third of the proximal phalanx: complications and outcomes." Journal of Hand Surgery 37(7): 1342-1348.
  • Franz, T., et al. (2012). "Extra-articular fractures of the proximal phalanges of the fingers: a comparison of 2 methods of functional, conservative treatment." Journal of Hand Surgery 37(5): 889-898.
  • Gaston, R. G. and C. Chadderdon (2012). "Phalangeal fractures: displaced/nondisplaced." Hand clinics 28(3): 395-401.
  • Held, M., et al. (2013). "Conservative treatment of fractures of the proximal phalanx: an option even for unstable fracture patterns." Hand Surgery 18(02): 229-234. Henry, M. H. (2008). "Fractures of the proximal phalanx and metacarpals in the hand: preferred methods of stabilization." JAAOS-Journal of the American Academy of Orthopaedic Surgeons 16(10): 586-595.
  • Horton, T., et al. (2003). "A prospective randomized controlled study of fixation of long oblique and spiral shaft fractures of the proximal phalanx: closed reduction and percutaneous Kirschner wiring versus open reduction and lag screw fixation." Journal of Hand Surgery 28(1): 5-9.
  • Hudak, P. L., et al. (1996). "Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Hand)." American journal of industrial medicine 29(6): 602-608.
  • Kamath, J. B., et al. (2011). "Current concepts in managing fractures of metacarpal and phalangess." Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India 44(2): 203. Kozin, S. H., et al. (2000). "Operative treatment of metacarpal and phalangeal shaft fractures." JAAOS-Journal of the American Academy of Orthopaedic Surgeons 8(2): 111-121.
  • Kurzen, P., et al. (2006). "Complications after plate fixation of phalangeal fractures." Journal of Trauma and Acute Care Surgery 60(4): 841-843.
  • Le Nen, D. (2014). "Extra-articular fractures of the digital metacarpals and phalanges of the long fingers." Chirurgie de la main 33(1): 1-12.
  • Lee, S.-G. and J. B. Jupiter (2000). "Phalangeal and metacarpal fractures of the hand." Hand clinics 16(3): 323-332, vii.
  • Li, G., et al. (2015). "Comparison of Clinical Outcomes of Phalangeal Fracture Treated with Dorsolateral Approach or Post-middle Approach Using AO Mini Titanium Plate." Indian Journal of Surgery 77(2): 657-661.
  • Lins, R. E., et al. (1996). "A comparative mechanical analysis of plate fixation in a proximal phalangeal fracture model." The Journal of hand surgery 21(6): 1059-1064. Lögters, T. T., et al. (2017). "Proximal Phalanx Fracture Management." Hand: 1558944717735947.
  • Meals, C. and R. Meals (2013). "Hand fractures: a review of current treatment strategies." Journal of Hand Surgery 38(5): 1021-1031.
  • Onishi, T., et al. (2015). "Predictors of postoperative finger stiffness in unstable proximal phalangeal fractures." Plastic and Reconstructive Surgery Global Open 3(6).
  • Page, S. M. and P. J. Stern (1998). "Complications and range of motion following plate fixation of metacarpal and phalangeal fractures." Journal of Hand Surgery 23(5): 827-832.
  • Rajesh, G., et al. (2007). "Dynamic treatment for proximal phalangeal fracture of the hand." Journal of Orthopaedic Surgery 15(2): 211-215.
  • Robinson, L. P., et al. (2017). "Dorsal versus lateral plate fixation of finger proximal phalangeal fractures: a retrospective study." Archives of orthopaedic and trauma surgery 137(4): 567-572.
  • von Kieseritzky, J., et al. (2017). "Reoperations and postoperative complications after osteosynthesis of phalangeal fractures: a retrospective cohort study." Journal of plastic surgery and hand surgery 51(6): 458-462.
There are 22 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Ali Şahin This is me

Muhammet Salih Ayas This is me 0000-0002-7427-2223

Ali Aydın 0000-0001-6964-4363

Publication Date March 2, 2020
Submission Date November 11, 2019
Acceptance Date January 28, 2020
Published in Issue Year 2019 Volume: 36 Issue: 4

Cite

APA Şahin, A., Ayas, M. S., & Aydın, A. (2020). Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx. Journal of Experimental and Clinical Medicine, 36(4), 105-111.
AMA Şahin A, Ayas MS, Aydın A. Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx. J. Exp. Clin. Med. March 2020;36(4):105-111.
Chicago Şahin, Ali, Muhammet Salih Ayas, and Ali Aydın. “Outcomes of Low-Profile Plate-Screw Osteosynthesis in Unstable Extra-Articular Fractures of the Proximal Phalanx”. Journal of Experimental and Clinical Medicine 36, no. 4 (March 2020): 105-11.
EndNote Şahin A, Ayas MS, Aydın A (March 1, 2020) Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx. Journal of Experimental and Clinical Medicine 36 4 105–111.
IEEE A. Şahin, M. S. Ayas, and A. Aydın, “Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx”, J. Exp. Clin. Med., vol. 36, no. 4, pp. 105–111, 2020.
ISNAD Şahin, Ali et al. “Outcomes of Low-Profile Plate-Screw Osteosynthesis in Unstable Extra-Articular Fractures of the Proximal Phalanx”. Journal of Experimental and Clinical Medicine 36/4 (March 2020), 105-111.
JAMA Şahin A, Ayas MS, Aydın A. Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx. J. Exp. Clin. Med. 2020;36:105–111.
MLA Şahin, Ali et al. “Outcomes of Low-Profile Plate-Screw Osteosynthesis in Unstable Extra-Articular Fractures of the Proximal Phalanx”. Journal of Experimental and Clinical Medicine, vol. 36, no. 4, 2020, pp. 105-11.
Vancouver Şahin A, Ayas MS, Aydın A. Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx. J. Exp. Clin. Med. 2020;36(4):105-11.