Percutaneous Osteosynthesis with Headless Cannulated Screws in the Treatment of Metacarpal and Proximal and Middle Phalanxes Fractures of the Hand

• DOI: 10.1055/s-0038-1676080
• Publication Date: 2018-12-07T18:42:10Z
• Authors: Oscar Carrera Casal; María Rivera Vegas; Miguel Estefanía ...; Pilar García Cano; Javier Maya Gonzalez; Endika Nevado San...
• Keywords: Phalanx; Osteosynthesis; Proximal phalanx; Kirschner wire

Introduction There is a high incidence of hand fractures, and percentage them require surgical treatment. The functional result depends, to large extent, on the technique used. use retrograde intramedullary screws allows for early mobilization minimal dissection soft tissues. objective present study analyze clinical results complications with this type osteosynthesis. Methods A total 96 fractures in 81 patients were analyzed. 62 metacarpal 60% which involved 5th finger, 29% 4th, 5% 3rd, 6% 2nd finger. 34 phalanxes, 27 (79.5%) proximal phalanx, 20.5% middle phalanx. range active mobility, time spent at work, intraoperative assessed. Results average mobility obtained was 260° (230–270°). Patients resumed their normal activity within an 5 weeks (between 3 32 weeks). rate 13% postoperative metacarpals, 8% 11% phalanxes. Conclusion cannulated safe effective option treatment different types obtaining good reintegration, acceptable number complications.