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Zunanje fiksiranje zlomov dlančnic in členkov = External fixation of metacarpal and phalangeal fracturesMargić, KrunoslavBackground. In past three years we have used small external fixator in the treatment of 18 closed fractures of metacarpal bones, 15 phalangeal fractures,four dislocated fractures of MCP and five of ... PIP joint, ten arthrodesis, five replantations/revascularisations, two pathological fractures, and in few post-traumatic infection of bones and joints. Results. Results were graded as excellent (completely normal function), very good (15 degrees deficit of total ROM), good (30 degrees deficit of total ROM; can flexthe fingers to the palm), and poor. Excellent result was obtained in the treatment of all 18 metacarpal fractures. The final results in the treatment of 22 closed fragmentated fractures of phalanges were as follows: excellent 3,very good 2, good 2 and five poor results (three patients in this group havefallen on their hands causing refracture and reoperation). Three of four fractures of MCP joint and four of five fractures involving PIP joint have good mobility. In eight of ten patients arthrodeses are stable and without pain. In two cases pathological fractures were first stabilized and than the tumor was evacuated and grafted with minimal dissection; booth have good results. Conclusion. Author suggests that, in selected cases, with applicationof small external fixator reasonable good results can be obtained.Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 70, št. 11, nov. 2001, str. 665-670)Vrsta gradiva - članek, sestavni delLeto - 2001Jezik - slovenskiCOBISS.SI-ID - 14274009
Avtor
Margić, Krunoslav
Teme
Metacarpus |
Injuries |
Metacarpophalangeal joint |
Injuries |
Fracture fixation |
External fixators |
Treatment outcome |
Metakarpofalangealni sklep |
Metakarpus |
Zlom, fiksacija |
Zunanji fiksatorji |
Izid zdravljenja |
poškodbe |
zlomi |
roka |
dlančnice |
zdravljenje
vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 70, št. 11, nov. 2001, str. 665-670)
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