Composite wiring of metacarpal and phalangeal fractures.
Composite wiring techniques using various configurations of Kirschner pins and stainless steel wire sutures have been applied to the treatment of 63 fractures of the long bones of the hand. The secure fixation achieved allowed active motion within 1 week of operation. Thirty-three metacarpal fractures achieved a final mean total active motion of 256 degrees (standard deviation 13.4) (normal total active motion -260 degrees). Twenty-one phalangeal fractures achieved a mean total active motion of 215 degrees (standard deviation, 46 degrees). There were no instances of infection, malunion, nonunion, loss of reduction, or tendon rupture in the 63 fractures that were treated.
University of South Florida College of Medicine, Department of Orthopaedic Surgery and Rehabilitation, Tampa 33612.
T L
TL
Greene
R C
RC
Noellert
R J
RJ
Belsole
L A
LA
Simpson
D000293:Adolescent; D000328:Adult; D000368:Aged; D001858:Bone Nails; D001864:Bone Wires; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D011183:Postoperative Complications; D013193:Stainless Steel; D013537:Sutures
D013193:Stainless Steel