Outcomes of Unstable Extraarticular Metacarpal Fractures Treated with Low Profile Titanium Plate System

Lee,  Jae Hoon; Chung,  Duke Whan; Han,  Chung Soo; Cho,  Young Joo

doi:2013.18.3.103

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Arch Hand Microsurg > Volume 18(3); 2013 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2013;18(3):103-110.
Published online September 30, 2013.
DOI: https://doi.org/10.12790/jkssh.2013.18.3.103

Outcomes of Unstable Extraarticular Metacarpal Fractures Treated with Low Profile Titanium Plate System

Jae Hoon Lee, Duke Whan Chung, Chung Soo Han, Young Joo Cho

¹Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. ljhos69@naver.com
²Department of Orthopaedic Surgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.

Received: 20 June 2013 • Revised: 9 September 2013 • Accepted: 9 September 2013

Abstract

Purpose
The purpose of this study was to evaluate clinical results for open reduction and internal fixation of unstable extraarticular metacarpal fractures using low profile titanium plates.

Methods
Sixty-two consecutive patients (76 metacarpals) with unstable extraarticular metacarpal fractures who prospectively underwent internal fixation with plating were enrolled. Minimum follow-up was 1 year. There were 48 males and 14 females; average age was 39 years (range, 15-71 years). The location of the fractures was shaft in 65 metacarpals and the type was transverse in 22 cases, oblique in 46 cases, and communited in 8 cases. Of the 62 patients, 11 were open; 9 of these had additional soft tissue injury. The surgical outcome was assessed by clinical and radiographic outcomes and complications.

Results
Bone union was successfully achieved in all patients on the average period of 6.4 weeks. The final range of total active motion was excellent for 64 cases, good for 6 cases, fair for 5 cases, and poor for 1 case. Postoperative complications occurred in 9 patients (15 metacarpals). Statistical analysis revealed that patient age, occupation, multiple metacarpal fractures, and soft tissue injury were significantly correlated with incidence of complications at last follow-up.

Conclusion
Low profile titanium plating showed the low complication rate and good results in treating unstable extraarticular metacarpal fractures.

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