Abstract:
BACKGROUND:To avoid the irritation of tendons and soft tissues as well as hardware-related problems, we designed an intramedullary fixation with bioabsorbable rods for the treatment of the metacarpal shaft fractures. METHODS:Five patients with nine shaft fractures of the fourth and fifth metacarpi were treated with intramedullary absorbable implants and followed up with an average of 4.2 months postoperatively. RESULTS:At final follow-up, all patients achieved fracture union with no signs of inflammatory or subcutaneous effusion. There was no shortening, angulatory, or rotatory deformity. There was almost full active extension range of motion (ROM) of the metacarpophalangeal joints while the active flexion ROM of these joints was 80.7 ± 9.6°. Compared with the contralateral hand, the grip strength of the injured hand was 94.0 ± 9.6%. X-rays showed that the arch of the second to fifth metacarpal heads was smooth. There were no intramedullary lytic changes and soft tissue swellings. CONCLUSION:The intramedullary absorbable implants are a safe, simple, and practical treatment for fourth and fifth metacarpal fractures with good early clinical outcomes and no significant complications.
journal_name
Chin Med J (Engl)journal_title
Chinese medical journalauthors
Xiong G,Xiao ZR,Guo SG,Zheng W,Dai LFdoi
10.4103/0366-6999.168040subject
Has Abstractpub_date
2015-11-05 00:00:00pages
2851-5issue
21eissn
0366-6999issn
2542-5641pii
ChinMedJ_2015_128_21_2851_168040journal_volume
128pub_type
杂志文章abstract:BACKGROUND:Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speed up recovery. This study aimed to assess the impact of ERAS protocols for functional endoscopic sinus surgery (FESS) in pati...
journal_title:Chinese medical journal
pub_type: 杂志文章,随机对照试验
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journal_title:Chinese medical journal
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journal_title:Chinese medical journal
pub_type: 杂志文章
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更新日期:1990-05-01 00:00:00
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