Phalangeal fractures treated with osteosynthesis plates. Short - term results.

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Published: Aug 19, 2018
DOI: https://doi.org/10.15417/issn.1852-7434.2018.83.3.661
Keywords:
Hand, phalanx, fracture, plate fixation

Main Article Content

Ricardo Martín Gardenal
Sanatorio Plaza, Rosario, Santa Fe.
http://orcid.org/0000-0003-0013-9275
Matías Santiago Seri
Sanatorio Plaza, Rosario, Santa Fe.
Sebastián José Faccendini
Sanatorio Plaza, Rosario, Santa Fe.
Gastón Bernardo Kalejman
Sanatorio Plaza, Rosario, Santa Fe.
Jorge Ariel Bichara
Sanatorio Plaza, Rosario, Santa Fe.

Abstract

IntroductionA prospective cohort study was carried out to evaluate functional results in workers with phalangeal fractures treated with plates and to establish poor prognostic factors.MethodsFrom May 2012 to May 2014, 55 workers with phalangeal fractures were operated on consecutively by reduction and fixation with plate and screws. Forty-two patients (39 men; average age 30.76 years) were evaluated, with 68 operated phalanges (first phalanx 15, second phalanx 53). Twenty-eight percent of fractures were open, 38.24% comminuted and 11.76% had joint involvement. Average follow-up: 3.38 months.ResultsBone union was achieved in all fractures in 1.8 months. Gingrass score for the thumb was good in two cases and regular in one. In the remaining fingers, Belsky score was excellent (35%), good (55%), and poor (9%). Average DASH score was 18.53. Worst results were observed in the first phalanx fractures with respect to the second and in older patients than in the younger, both with statistical significance. No relationship was observed between the outcome and other variables studied. Four patients had complications (9.5%).ConclusionsComparing our study with others, the rate of complications was small, and similar results were obtained, but unlike other authors, we are not used to remove hardware with tenolysis or arthrolysis. Bone union was achieved in all cases and results were satisfactory in 90% of patients.

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How to Cite
Gardenal, R. M., Seri, M. S., Faccendini, S. J., Kalejman, G. B., & Bichara, J. A. (2018). Phalangeal fractures treated with osteosynthesis plates. Short - term results. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 83(3), 179-187. https://doi.org/10.15417/issn.1852-7434.2018.83.3.661
Issue
Vol 83 No 3 (2018)
Section
Clinical Research
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Author Biographies

Ricardo Martín Gardenal, Sanatorio Plaza, Rosario, Santa Fe.

Servicio de Ortopedia y Traumatología en Sanatorio Plaza, Rosario, Santa Fe.

Matías Santiago Seri, Sanatorio Plaza, Rosario, Santa Fe.

Servicio de Ortopedia y Traumatología en Sanatorio Plaza, Rosario, Santa Fe.

Sebastián José Faccendini, Sanatorio Plaza, Rosario, Santa Fe.

Servicio de Ortopedia y Traumatología en Sanatorio Plaza, Rosario, Santa Fe.

Gastón Bernardo Kalejman, Sanatorio Plaza, Rosario, Santa Fe.

Servicio de Ortopedia y Traumatología en Sanatorio Plaza, Rosario, Santa Fe.

Jorge Ariel Bichara, Sanatorio Plaza, Rosario, Santa Fe.

Servicio de Ortopedia y Traumatología en Sanatorio Plaza, Rosario, Santa Fe.

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