[Articular fractures of the base of the first metacarpal. Comparative study of direct osteosynthesis and closed pinning].
The authors retrospectively studied 35 articular fractures of the base of the first metacarpal, with an average follow-up of 3 years. Treatment consisted of closed reduction and pinning in 19 cases, open reduction and rigid fixation in 16 cases. Results were estimated in terms of pain, range of movement (flexion-adduction arc and abduction-extension arc), strength and X-rays. There was no significant difference between the two groups, for age, sex, occupation, side and postoperative care. Only one significant difference between both procedures was found: flexion-adduction was better after osteosynthesis than after closed pinning (p = 0.03). The authors observed a better range of flexion-adduction and pinch strength after treatment of Bennett's fracture. Radiographic features were not different at follow-up between open and closed osteosynthesis.
Brazier
J
J
Service de Chirurgie Orthopédique et Traumatologique, Hôpital B, CHRU Lille.
Moughabghab
M
M
Migaud
H
H
Fontaine
C
C
Elia
A
A
Tillie
B
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000145:classification / Q000534:rehabilitation / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D016014:Linear Models; D008297:Male; D008663:Metacarpus / Q000601:surgery*; D008875:Middle Aged; D010149:Postoperative Pain; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D018709:Statistics, Nonparametric