title: Neglected, open, multiple carpal-metacarpal fracture dislocations of the hand--an unusual entity and its management.
abstract: A rare case of neglected, open, multiple carpal-metacarpal fracture dislocations complicated by wound infection, soft-tissue contractures, and Sudeck's dystrophy is reported. Satisfactory cosmetic and functional results at 2 years were achieved with staged distraction using Ilizarov's fixator to stretch soft tissues and gain length, followed by open reduction and internal fixation.
authors.affiliation: Department of Orthopaedics, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.
authors.forename: Himanshu
authors.initials: H
authors.lastname: Kataria
authors.forename: Neeraj
authors.initials: N
authors.lastname: Sharma
authors.forename: Rajesh Kumar
authors.initials: RK
authors.lastname: Kanojia
mesh_terms: D000328:Adult; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000628:therapy*; D006230:Hand Injuries / Q000628:therapy*; D006801:Humans; D018889:Ilizarov Technique; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D020127:Recovery of Function; D016896:Treatment Outcome