Unstable metacarpal and phalangeal fractures: treatment by internal fixation using AO mini-fragment plates and screws.
BACKGROUND
Accurate open reduction and internal fixation for metacarpal and phalangeal fractures of the hand is required in less than 5% of the patients; otherwise, closed treatment techniques offer satisfactory results in most of these cases as these fractures are stable either before or after closed reduction. AO mini-fragment screws and plates, when used in properly selected cases, can provide rigid fixation, allowing early mobilization of joints and hence good functional results while avoiding problems associated with protruding K-wires and immobilization. The advantages of such internal fixation urged us to undertake such a study in our state where such hand injuries are commonly seen.


METHODS
Forty patients with 42 unstable metacarpal and phalangeal fractures were treated with open reduction and internal fixation using AO mini-fragment screws and plates over a period of three years in a prospective manner.


RESULTS
The overall results were good in 78.5% of cases, fair in 19% of cases and poor in 2.5% of cases, as judged according to the criteria of the American Society for Surgery of the Hand.


CONCLUSIONS
This technique is a reasonable option for treating unstable metacarpal and phalangeal fractures as it provides a highly rigid fixation, which is sufficient to allow early mobilization of the adjacent joints, thus helping to achieve good functional results.
Mumtaz
Mohammad Umar
MU
Government Hospital for Bone and Joint Surgery Barzulla, Srinagar, Kashmir, India. umarmumtaz72@gmail.com
Farooq
Muneer Ahmad
MA
Rasool
Altaf Ahmad
AA
Kawoosa
Altaf Ahmad
AA
Badoo
Abdul Rashid
AR
Dhar
Shabir Ahmad
SA
D050278:Finger Phalanges / Q000000981:diagnostic imaging / Q000293:injuries*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D011859:Radiography; D012189:Retrospective Studies