[Outpatient treatment of patients with fractures of hand tubular bones].
Results of treatment of 282 patients with 288 fractures of tubular bones of the hand were analyzed. In 190 (67.4%) cases conservative methods of treatment were used, in 92 (32.6%)--surgical methods. In cases of fractures without displacement plaster immobilization was used, in patients with stable fractures of finger phalanx and metacarpal bones with fragment displacement we made closed reposition and plaster immobilization. We applied intramedullary osteosynthesis with Kirschner's wire after closed reposition in unstable oblique and transverse fractures with fragment displacement. In open fractures of distal phalanx thin wires were used for intramedullary osteosynthesis. External fixation with Ilizarov's instrumentation was applied in patients with intraarticular fractures, with fractures healed in improper position and in patients with posttraumatic bone deformity. Using the surgical method in out-patient practice reduced the amount of hospitalized patients. Special methods of rehabilitation decreased the period of management and earlier returned the patients to active life.
Neverov
V A
VA
Dadalov
M I
MI
Chubarova
V M
VM
D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000379:methods*; D002648:Child; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation*; D050723:Fractures, Bone / Q000175:diagnosis / Q000628:therapy*; D006230:Hand Injuries / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D015599:Trauma Severity Indices; D016896:Treatment Outcome