Study of cross pinning of metacarpal and proximal phalangeal fracture of the hand
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction: A majority of metacarpal and proximal phalynx fracture can be effectively managed with closed reduction and cast and buddy taping. However a group metacarpal and proximal phalynx fractures are unstable and reducible, but difficult to put in reducible position within plaster cast or buddy taping till union of the fractures, for those fractures cross pinning with ‘k’ wires is required. Lots of other technique i.e. external fixation, miniplate, L pinning for fixation of metacarpal and proximal phalynx fracture are also available. Aim: Aim of this study is Functional outcome of cross pinning of metacarpal and proximal phalanges fracture of the hand. Material and method: 25 patients with metacarpal and phalynx fracture were treated with cross intramedullary ‘k’ wire fixation between June 2016 – 2018 in Pravara rural hospital-loni (Maharashtra). Out of 25 patients 18 are males and 7 are females, of which 14 were having metacarpal fracture and 11 were having proximal phalynx fracture. Result: All 25 patients were followed up for more than 3 months. 1 patient (female) developed sudecks osteodystrophy. At final follow up 4 patients had residual pain measuring 2-3 on visual analogue scale. All patients regained full range of motion at metacarpo-phalyngeal and interphalyngeal joints. Fracture union was evaluated at each x-ray and patient satisfaction was evaluated as excellent, good, fair or poor. Discussion: In our study early mobilisation of the joint to reduce the stiffness k wires used for fixation are cheap, easily available and doesn’t require costly instrumentation. Clinicoradiological confirmation was done at the end of every surgery to confirm acceptable reduction. There was no clinical shortening of metacarpals and phalanges. Conclusion: Comminutted fractures and intra-articular fractures, k wire not suitable. It is relatively simple, cost effective and definite advantages over other techniques for fracture stabilisation.
Authors and Affiliations
Dr. KN Ghorpade, Dr. Ranjan Kumar Gupta, Dr. Mahammad-Akram Abdul Rahim Saji, Dr. Sanket Khandarkar, Dr. Khyati Gupta, Dr. Ajinkya Jadhav
Keywords
Related Articles
- EP ID EP487785
- DOI 10.22271/ortho.2018.v4.i4d.32
- Views 143
- Downloads 0
Patients perception of outcome in arthroscopic subacromial decompression using proms scores
Subacromial impingement syndrome (SIS) is the most common cause of shoulder pain, with higher incidence in middle age and elderly population; this will have an impact upon their activities of daily living and quality of...
Occurrence of fracture neck femur in the elderly Indian population
Background: The incidence of femoral neck fractures, one of the most common traumatic injuries in the elderly increases continuously due to the ageing of population on the planet and urbanization. Aims and Objective of t...
Clinical study of outcome of unstable intertrochanteric fracture treated by proximal femoral nail: A prospective study
Background: The AO/ASIF proximal femoral nail (PFN) is a new device designed for the treatment of the unstable intertrochanteric femoral fracture. The purpose of this study to find the outcome of such fractures treated b...
A comparison of closed intramedullary nailing with open intramedullary nailing in femoral shaft fractures of adults
The overall incidence of femoral shaft fractures as well as their burden on society continues to be significant. The purpose of our study was to assess the results of intramedullary nailing of femoral shaft fractures by...
Is Multimodal pain management the new standard of care in total knee replacement?
Background: Measures for pain management after total knee arthroplasty (TKA) are important for early improvement in the quality of life after operation and early postoperative rehabilitation. This study was conducted to...