Functional Outcome of Operative Treatment in Metacarpal and Phalangeal Fractures with Closed Double Intramedullary K Wires.
|IJOCP | April 2014 | Volume 1 | Issue 1 | Page 5
Conference: North Zone Indian Orthopaedic Association Conference, 2014 – Amritsar, India [Click for Full details]
Authors: Gaurav Gupta, R.S.Boparai, Jaspal Singh 
Authors Affiliations: K. G. Medical University, Lucknow, India
Address of Correspondence:
Dr Ajai Singh, 2/59, Viram Khand, Gomti Nagar, Lucknow
Aim :Hand fractures are amongst the most common fractures in the skeletal system.Too often these fractures are considered as minor and trivial injuries and are allocated for treatment to the junior most resident resulting in major disabilities.Proper preoperative planning, surgical intervention whenever needed, selection of appropriate anaesthesia and application of the principle of biological fixation, rigid enough to allow early mobilization are all very important for a good functional outcome.The hand fractures are equally or more worthy of expertise as major extremity trauma are, and the final outcome depends upon the fracture personality, appropriate and timely intervention followed by proper rehabilitation. The present study is a prospective study undertaken to evaluate the functional outcome of joint sparing surgical stabilization by double intramedullary K wires in metacarpals and phalanges.
Material & Methods: The study consisted of a total of 25 cases. An adult case of either sex of age 20 and above was included in the study.
Results:Final evaluation of patients was done at six months by calculating Total Active range of Motion (TAM) as suggested by the American Society for Surgery of Hand (ASSH). In the present study 23 cases (92%) were having result good to excellent. 2 cases (8%) were having fair results and none of the cases had poor result.
Discharge was the most common complication in this study and was present in 20% of cases followed by stiffness in 16% of cases.
Conclusion: This technique represents a safe and effective treatment option for metacarpal and phalangeal fractures of hand and provides maximum functional recovery with minimal complication rate because in contrast to other methods it does not disturb the tendons gliding on their diaphanous beds intimately enveloping the tubular skeleton of the phalanges and which are the ultimate determinants of functional outcome after skeletal trauma.
|How to Cite this Abstract|
|Gaurav Gupta, R.S.Boparai, Jaspal Singh. Functional Outcome of Operative Treatment in Metacarpal and Phalangeal Fractures with Closed Double Intramedullary K Wires. I J Orthopaedic Conference Proceedings. April 2014;1(1):5|