Minimally Invasive Percutaneous Screw Fixation of Phalangeal Fractures of the Hand

  1. C, Simon-Perez 1
  2. Garcia-Virto, V 1
  3. Garcia-Medrano, B 1
  4. Rodríguez-Mateos, JI 1
  5. Faour-Martin, O 1
  6. Martin-Ferrero, MA 1
  1. 1 Hospital Universitario de Valladolid
    info

    Hospital Universitario de Valladolid

    Valladolid, España

    ROR https://ror.org/04fffmj41

Revista:
Journal of Musculoskeletal Disorders and Treatment

ISSN: 2572-3243

Año de publicación: 2017

Volumen: 3

Número: 2

Tipo: Artículo

DOI: 10.23937/2572-3243.1510035 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Journal of Musculoskeletal Disorders and Treatment

Resumen

Aim. This study present the results of an effective, minimally invasive treatment method for displaced diaphyseal and articular fractures of hand phalanges, which are difficult to manage and frequently involve complications stemming from excessive treatment.Methods 93 patients with phalangeal fractures of the hand were treated using minimally invasive screw osteosynthesis. We carried out a prospective study covering the period from November 2002 to November 2013. All the fractures were closed and 39 (41.9%) fractures were intra-articular. The most common type of fracture was the long oblique, in 40 (43%) cases, followed by the spiral fracture in 14 (15.1%) cases.ResultsThe functional results attending mobility range and fracture healing obtained after the last revision (6 months) were excellent in 68 patients (73.1%), good in 18 (19.4%) and poor in 7 (7.5%).Conclusions Percutaneous screw osteosynthesis reduces the time of fracture immobilisation to the maximum, contributing to earlier functional recovery, and leaves no aesthetic defects. It is a very useful technique in specially selected fractures and patients. Type de study/Level of evidence Therapeutic III.