Universität zu Köln

Spies, Christian K., Langer, Martin, Hohendorff, Bernd, Mueller, Lars P., Oppermann, Johannes and Unglaub, Frank (2019). Open reduction and screw/plate osteosynthesis of metacarpal fractures. Oper. Orthopade Traumatol., 31 (5). S. 422 - 433. MUNICH: URBAN & VOGEL. ISSN 1439-0981

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Abstract

Objective Anatomic reduction and stabile fixation for immediate mobilisation and restoration of unrestricted function. Indications Instabile metacarpal fractures with or without malrotation, dislocated metacarpal fractures with malrotation or finger extension deficit, longitudinally shortened metacarpal fractures with finger extension deficit. Contraindications Persistent infections (empyema, osteomyelitis, phlegmon) Surgical technique Longitudinal intermetacarpal incision along the fracture zone, debridement of the fracture zone with retainment of periost, anatomic reduction and retention of spiral fractures with at least two lag screws or retention of comminuted or transverse fractures with locking plate osteosynthesis while retaining periost. Postoperative management Buddy splinting of the corresponding finger to enable immediate mobilisation without weight bearing for 6 weeks. Results Locking plate osteosynthesis and compression screw osteosynthesis after anatomic reduction of metacarpal fractures proved to be very reliable with a low complication rate and a good functional outcome (modified Mayo Wrist Score [MMWS]: mean 88 (20-100); Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire: mean 41(24-86)).

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, Christian K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Langer, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Hohendorff, Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-133165
DOI:	10.1007/s00064-019-00625-y
Journal or Publication Title:	Oper. Orthopade Traumatol.
Volume:	31
Number:	5
Page Range:	S. 422 - 433
Date:	2019
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1439-0981
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANGULATION; FIXATION; SHAFT; HAND Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13316