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Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws
We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another...
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| Published in: | Hand surgery and rehabilitation 2018-04, Vol.37 (2), p.99-103 |
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| Main Authors: | , , , |
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| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c362t-40f52fd0705d78b80fd6c35becdf287f3f21ab4c818f4fa22e7a9b69384268c93 |
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| cites | cdi_FETCH-LOGICAL-c362t-40f52fd0705d78b80fd6c35becdf287f3f21ab4c818f4fa22e7a9b69384268c93 |
| container_end_page | 103 |
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| container_title | Hand surgery and rehabilitation |
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| creator | Jann, D. Calcagni, M. Giovanoli, P. Giesen, T. |
| description | We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another patient had an extension lag. There were no other complications. This fast and easy technique results in good outcomes for unstable metacarpal fractures. The advantages are early active motion without immobilization and stable fixation. Surgical removal of the screw is rarely needed.
IV (therapeutic).
Nous avons analysé les résultats de 20 fractures instables des métacarpiens chez 15 patients que nous avons traités avec des vis de compression canulées et sans immobilisation. La consolidation des fractures était obtenue dans tous les cas. Nous avons effectué une arthrolyse chez un patient avec des fractures multiples et un déficit de mobilité en flexion. Un autre patient montrait un déficit de mobilité en extension. Nous n’avons pas trouvé d’autres complications. Cette technique facile et rapide montre des résultats favorables. Les avantages sont la fixation stable et la mobilisation précoce. L’ablation de la vis est rarement nécessaire. |
| doi_str_mv | 10.1016/j.hansur.2017.12.005 |
| format | article |
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IV (therapeutic).
Nous avons analysé les résultats de 20 fractures instables des métacarpiens chez 15 patients que nous avons traités avec des vis de compression canulées et sans immobilisation. La consolidation des fractures était obtenue dans tous les cas. Nous avons effectué une arthrolyse chez un patient avec des fractures multiples et un déficit de mobilité en flexion. Un autre patient montrait un déficit de mobilité en extension. Nous n’avons pas trouvé d’autres complications. Cette technique facile et rapide montre des résultats favorables. Les avantages sont la fixation stable et la mobilisation précoce. L’ablation de la vis est rarement nécessaire.</description><identifier>ISSN: 2468-1229</identifier><identifier>EISSN: 2468-1210</identifier><identifier>DOI: 10.1016/j.hansur.2017.12.005</identifier><identifier>PMID: 29503183</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adult ; Aged ; Bone Screws ; Centromédullaire ; Compression screw ; Fracture ; Fracture fixation ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; Fracture Healing ; Fractures, Bone - surgery ; Hand Strength ; Headless screw ; Humans ; Intramedullary ; Male ; Metacarpal ; Metacarpal Bones - injuries ; Metacarpal Bones - surgery ; Middle Aged ; Métacarpiens ; Operative Time ; Ostéosynthèse ; Physical Therapy Modalities ; Postoperative Care ; Vis sans tête ; Vis à compression ; Young Adult</subject><ispartof>Hand surgery and rehabilitation, 2018-04, Vol.37 (2), p.99-103</ispartof><rights>2018 SFCM</rights><rights>Copyright © 2018 SFCM. Published by Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-40f52fd0705d78b80fd6c35becdf287f3f21ab4c818f4fa22e7a9b69384268c93</citedby><cites>FETCH-LOGICAL-c362t-40f52fd0705d78b80fd6c35becdf287f3f21ab4c818f4fa22e7a9b69384268c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29503183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jann, D.</creatorcontrib><creatorcontrib>Calcagni, M.</creatorcontrib><creatorcontrib>Giovanoli, P.</creatorcontrib><creatorcontrib>Giesen, T.</creatorcontrib><title>Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws</title><title>Hand surgery and rehabilitation</title><addtitle>Hand Surg Rehabil</addtitle><description>We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another patient had an extension lag. There were no other complications. This fast and easy technique results in good outcomes for unstable metacarpal fractures. The advantages are early active motion without immobilization and stable fixation. Surgical removal of the screw is rarely needed.
IV (therapeutic).
Nous avons analysé les résultats de 20 fractures instables des métacarpiens chez 15 patients que nous avons traités avec des vis de compression canulées et sans immobilisation. La consolidation des fractures était obtenue dans tous les cas. Nous avons effectué une arthrolyse chez un patient avec des fractures multiples et un déficit de mobilité en flexion. Un autre patient montrait un déficit de mobilité en extension. Nous n’avons pas trouvé d’autres complications. Cette technique facile et rapide montre des résultats favorables. Les avantages sont la fixation stable et la mobilisation précoce. L’ablation de la vis est rarement nécessaire.</description><subject>Adult</subject><subject>Aged</subject><subject>Bone Screws</subject><subject>Centromédullaire</subject><subject>Compression screw</subject><subject>Fracture</subject><subject>Fracture fixation</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing</subject><subject>Fractures, Bone - surgery</subject><subject>Hand Strength</subject><subject>Headless screw</subject><subject>Humans</subject><subject>Intramedullary</subject><subject>Male</subject><subject>Metacarpal</subject><subject>Metacarpal Bones - injuries</subject><subject>Metacarpal Bones - surgery</subject><subject>Middle Aged</subject><subject>Métacarpiens</subject><subject>Operative Time</subject><subject>Ostéosynthèse</subject><subject>Physical Therapy Modalities</subject><subject>Postoperative Care</subject><subject>Vis sans tête</subject><subject>Vis à compression</subject><subject>Young Adult</subject><issn>2468-1229</issn><issn>2468-1210</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kElLAzEUx4MottR-A5EcvXTMMkvmIoi4QUEQPYdM8mJTZqlJxuXbm9Lao6f3Dr__W34InVOSUULLq3W2Un0YfcYIrTLKMkKKIzRleSkWlFFyfOhZPUHzENaEpFxF66I6RRNWF4RTwafIvkD0w7tXBrB13yq6oceDxR1EpZXfqBZbr3QcPQT85eIKuz561YEZ21b5H6xV34-timDwCpRpIQSsh26T-LCdFbSHr3CGTqxqA8z3dYbe7u9ebx8Xy-eHp9ub5ULzksVFTmzBrCEVKUwlGkGsKTUvGtDGMlFZbhlVTa4FFTa3ijGoVN2UNRc5K4Wu-Qxd7uZu_PAxQoiyc0FDOrWHYQwy6SKC14znCc13qPZDCB6s3HjXpZckJXIrWa7lTvI2VUnKZJKcYhf7DWOTLBxCf0oTcL0DIP356cDLoB30GozzoKM0g_t_wy_tWJIa</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Jann, D.</creator><creator>Calcagni, M.</creator><creator>Giovanoli, P.</creator><creator>Giesen, T.</creator><general>Elsevier Masson SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201804</creationdate><title>Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws</title><author>Jann, D. ; Calcagni, M. ; Giovanoli, P. ; Giesen, T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-40f52fd0705d78b80fd6c35becdf287f3f21ab4c818f4fa22e7a9b69384268c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bone Screws</topic><topic>Centromédullaire</topic><topic>Compression screw</topic><topic>Fracture</topic><topic>Fracture fixation</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing</topic><topic>Fractures, Bone - surgery</topic><topic>Hand Strength</topic><topic>Headless screw</topic><topic>Humans</topic><topic>Intramedullary</topic><topic>Male</topic><topic>Metacarpal</topic><topic>Metacarpal Bones - injuries</topic><topic>Metacarpal Bones - surgery</topic><topic>Middle Aged</topic><topic>Métacarpiens</topic><topic>Operative Time</topic><topic>Ostéosynthèse</topic><topic>Physical Therapy Modalities</topic><topic>Postoperative Care</topic><topic>Vis sans tête</topic><topic>Vis à compression</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jann, D.</creatorcontrib><creatorcontrib>Calcagni, M.</creatorcontrib><creatorcontrib>Giovanoli, P.</creatorcontrib><creatorcontrib>Giesen, T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hand surgery and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jann, D.</au><au>Calcagni, M.</au><au>Giovanoli, P.</au><au>Giesen, T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws</atitle><jtitle>Hand surgery and rehabilitation</jtitle><addtitle>Hand Surg Rehabil</addtitle><date>2018-04</date><risdate>2018</risdate><volume>37</volume><issue>2</issue><spage>99</spage><epage>103</epage><pages>99-103</pages><issn>2468-1229</issn><eissn>2468-1210</eissn><abstract>We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another patient had an extension lag. There were no other complications. This fast and easy technique results in good outcomes for unstable metacarpal fractures. The advantages are early active motion without immobilization and stable fixation. Surgical removal of the screw is rarely needed.
IV (therapeutic).
Nous avons analysé les résultats de 20 fractures instables des métacarpiens chez 15 patients que nous avons traités avec des vis de compression canulées et sans immobilisation. La consolidation des fractures était obtenue dans tous les cas. Nous avons effectué une arthrolyse chez un patient avec des fractures multiples et un déficit de mobilité en flexion. Un autre patient montrait un déficit de mobilité en extension. Nous n’avons pas trouvé d’autres complications. Cette technique facile et rapide montre des résultats favorables. Les avantages sont la fixation stable et la mobilisation précoce. L’ablation de la vis est rarement nécessaire.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>29503183</pmid><doi>10.1016/j.hansur.2017.12.005</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2468-1229 |
| ispartof | Hand surgery and rehabilitation, 2018-04, Vol.37 (2), p.99-103 |
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| language | eng |
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| source | ScienceDirect Journals |
| subjects | Adult Aged Bone Screws Centromédullaire Compression screw Fracture Fracture fixation Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Fracture Healing Fractures, Bone - surgery Hand Strength Headless screw Humans Intramedullary Male Metacarpal Metacarpal Bones - injuries Metacarpal Bones - surgery Middle Aged Métacarpiens Operative Time Ostéosynthèse Physical Therapy Modalities Postoperative Care Vis sans tête Vis à compression Young Adult |
| title | Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws |
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