[Stabilized arthroplasty of the 5th metacarpal bone. A therapeutic proposal for the treatment of old fractures-luxations of the 5th metacarpal bone].
The goals of the surgical treatment of fracture-dislocations of the fifth ray are length restoration of the fifth metacarpal, release of impingement and preservation of the carpo-metacarpal mobility. Our technic of "stabilised arthroplasty" satisfies theoretically to these three goals. It consists in resection-arthroplasty of the base of the fifth metacarpal associated with stabilisation by arthrodesis between fourth and fifth metacarpal.
Dubert
T
T
Clinique La Francilienne, Pontault Combault.
D000328:Adult; D001174:Arthrodesis; D001178:Arthroplasty / Q000379:methods*; D002348:Carpal Bones / Q000503:physiopathology / Q000601:surgery; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008663:Metacarpus / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery*; D009068:Movement; D014955:Wrist Joint / Q000503:physiopathology / Q000601:surgery