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Войти в исследования Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2003
[Diagnosis and treatment of complications associated with closed multi-fractures in metacarpals].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Gong Xu, Lu Lai-jin
Аннотация
OBJECTIVE: To pay attention to the diagnosis and treatment of the complications associated with closed multi-fractures in metacarpals.
METHODS: From 1997 to 2000, out of 382 patients with closed multi-fractures in metacarpals, 12 had complications. In 7 cases of fractures at the second, third, fourth and fifth metacarpal shaft, complicated by acute compartment syndrome in hand, compartmental fascia were incised for decompress; open reduction and internal fixation were performed. In 4 cases of fractures at the metacarpal base, complicated by acute carpal tunnel syndrome, the fracture was reduced and fixed without transection of the transverse carpal ligament. In 1 case of fracture at metacarpal base, complicated by direct contusion of the median nerve, the fracture was reduced without treatment of the median nerve.
RESULTS: All patients were followed up for 3 months. Fracture healed 4-6 weeks postoperatively. No claw deformity and dysfunction of the median nerve occurred. The arc of motion of the proximal interphalangeal and distal interphalangeal joints were normal.
CONCLUSION: During fracture reduction, we should pay attention to the complications associated with closed multi-fractures at metacarpal to decrease hand malfunction.
METHODS: From 1997 to 2000, out of 382 patients with closed multi-fractures in metacarpals, 12 had complications. In 7 cases of fractures at the second, third, fourth and fifth metacarpal shaft, complicated by acute compartment syndrome in hand, compartmental fascia were incised for decompress; open reduction and internal fixation were performed. In 4 cases of fractures at the metacarpal base, complicated by acute carpal tunnel syndrome, the fracture was reduced and fixed without transection of the transverse carpal ligament. In 1 case of fracture at metacarpal base, complicated by direct contusion of the median nerve, the fracture was reduced without treatment of the median nerve.
RESULTS: All patients were followed up for 3 months. Fracture healed 4-6 weeks postoperatively. No claw deformity and dysfunction of the median nerve occurred. The arc of motion of the proximal interphalangeal and distal interphalangeal joints were normal.
CONCLUSION: During fracture reduction, we should pay attention to the complications associated with closed multi-fractures at metacarpal to decrease hand malfunction.