title: [Causes for reoperations after osteosyntheses of finger and mid-hand fractures].
abstract: 31 patients reoperated after osteosynthesis of a metacarpal or a phalangeal fracture were reviewed over a period of three years. The cause of injury was in 18 cases a crush, in six cases a fall, in five cases a saw injury, and in two cases axial trauma. A postoperative plaster splint immobilisation over a period of at least three weeks was carried out in 29 cases. Reoperation was necessary in most of the cases because of a loss of range of motion and a nonunion. The complication rate was independent of the method of fixation, but did depend on the type of injury. Fractures associated with soft tissue injury were more likely to develop complications.
authors.affiliation: Klinik für Handchirurgie, Bad Neustadt/Saale.
authors.forename: U
authors.initials: U
authors.lastname: Bartelmann
authors.forename: J
authors.initials: J
authors.lastname: Kotas
authors.forename: B
authors.initials: B
authors.lastname: Landsleitner
mesh_terms: D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D012307:Risk Factors