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Journals / Hand and Microsurgery / 2020 / Cilt: 9 - Sayı: 2

Is ideal treatment of metacarpal and phalangeal fractures possible? Clinical and radiological outcomes of three surgical choices

Zeliha KAYA ERTEN
Kaan GURBUZ
Yakup EKİNCİ
Sabri BATİN
Pages
67–75
Publication Date
2022-10-19
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Results: Time to return to work was 77.56 ± 33.85 days, while Q-DASH scores at 3 months and 1 year and dynamometer values at 3 months were significantly higher in KW Group (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: We purposed to determine which of the surgical treatment options for metacarpal and phalangeal fractures, a subject that has limited coverage in the literature, is best.
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Key Findings & Data:Methods: Sixty-three patients who were surgically treated for closed and extra-articular metacarpal (41.9%) and phalangeal (58.1%) fractures were included in a randomized prospective clinical trial between August 2015 and August 2017.
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Conclusion & Impact:Results: Time to return to work was 77.56 ± 33.85 days, while Q-DASH scores at 3 months and 1 year and dynamometer values at 3 months were significantly higher in KW Group (p
🔬Design:Research Article
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: We purposed to determine which of the surgical treatment options for metacarpal and phalangeal fractures, a subject that has limited coverage in the literature, is best. Methods: Sixty-three patients who were surgically treated for closed and extra-articular metacarpal (41.9%) and phalangeal (58.1%) fractures were included in a randomized prospective clinical trial between August 2015 and August 2017. The patients were divided into three groups using block randomization: open reduction and internal fixation (ORIF) with miniplate plus screw fixation (MP Group; 6F/15M), ORIF with screw only fixation (SO Group; 5F/16M), and closed reduction and percutaneous K-wire fixation (KW Group; 3F/18M). The patients were followed up at 10 days and 3 weeks for wound care, at 3 months, and at the end of the first year and assessed based on dynamometer measurement, Q-DASH, and range of motion (ROM). Results: Time to return to work was 77.56 ± 33.85 days, while Q-DASH scores at 3 months and 1 year and dynamometer values at 3 months were significantly higher in KW Group (p

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Cite This Article

ERTEN, Z. K., GURBUZ, K., EKİNCİ, Y., BATİN, S. (2022). Is ideal treatment of metacarpal and phalangeal fractures possible? Clinical and radiological outcomes of three surgical choices. Hand and Microsurgery, Cilt: 9 - Sayı: 2, 67–75. https://ajindex.com/articles/533876

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