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- W2361344602 abstract "Objective To report the method and results of the hand fractures fixed by minifixation system. Methods Twenty-five cases(thirty lesions) of hand fractures were treated with external minifixator from May 2002 to November 2003. Among them, 14(19 lesions) were of metacarpal fractures, 11 cases of phalangeal fractures (6 of proximal phalanges, 5 of middle phalanges). 15 cases were close fractures, 10 were open fractures. There were 10 transverse types, 8 comminuted types, 3 short oblique types, 4 intra-articular types. The first wire was inserted closing to the joint, according to the position of the fracture and the bone length, a standard or L type clamp was applied over the wire and 5-10 mm away from the skin. The second wire was inserted either focally or transversely in respect to the first, according to the length of the fragment. A minifixation rod of proper length was connected. The second set of wires was inserted after that. With the ball joint and one of the clamps fully loosened, the fracture was reduced. If the reduction was satisfied, the clamps and the ball joint had to be locked. Active range of exercise was started two weeks later for the intra-articular fractures, and it could begin right on the first day after operation for extra-articular fractures. Results All patients were followed up for 5-12 months (average, 8 months). 24 fractures healed successfully, and the average union time was 8 weeks with a range of 6 to 12 weeks. According TAM standard, the overall good-excellent rate of joint function was 95.2% for the extra-articular fractures, while 75% for the intra-articular fractures. One had nonunion, one of pin breakage and 3 of pin-track infections. Conclusion The use of the minifixation system is an alternative method for the hand fractures, especially for the metacarpal ones. It also has some advantages on both of the comminuted fractures and complicated intra-articular fractures." @default.
- W2361344602 created "2016-06-24" @default.
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- W2361344602 date "2004-01-01" @default.
- W2361344602 modified "2023-09-23" @default.
- W2361344602 title "The application of the minifixation system in hand fractures" @default.
- W2361344602 hasPublicationYear "2004" @default.
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