Cerclage-wiring-assisted fixation of difficult hand fractures.
J Hand Surg Br
; 31(6): 637-42, 2006 Dec.
Article
en En
| MEDLINE
| ID: mdl-17011090
Difficult hand fractures with multiple butterfly fragments, multiple cortical splits or intraarticular extension continue to pose a challenge for optimal stable fixation that allows early postoperative mobilisation. In this study, we describe the use of cerclage-wire-assisted fixation of 17 difficult hand fractures in 16 patients. The cerclage wires helped to maintain the reduction, so providing sufficient initial stability for placement of a plate and screws. Stable fixation of the fracture was then accomplished without losing the reduction. One to three cerclages of stainless-steel wires were used for the preliminary fixation. Stable fixation was then accomplished by a bridging or neutralising plate technique. Postoperatively, the fixation was sufficiently stable to allow immediate mobilisation. With an average follow up of 44.5 months, all 17 fractures united without loss of reduction. At final follow-up, the average total active range of motion was 247 degrees (range 220-260 degrees ).
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Instrumentos Quirúrgicos
/
Hilos Ortopédicos
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Fracturas Conminutas
/
Fijación Interna de Fracturas
/
Traumatismos de la Mano
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Hand Surg Br
Año:
2006
Tipo del documento:
Article
País de afiliación:
Singapur
Pais de publicación:
Reino Unido