Biomaterial Database

External fixation for phalangeal and metacarpal fractures. 1998

D J Drenth, and H J Klasen

Department of Cardiothoracic Surgery, University Hospital, Groningen, The Netherlands.

From 1987 to 1993 we treated 33 patients with 29 phalangeal and seven metacarpal fractures by external fixation using a mini-Hoffmann device. There were 27 open and 25 comminuted fractures. In 12 patients one or more tendons was involved. The mean follow-up was 4.4 years. Complications occurred in ten fractures; two required repositioning of the fixator. All the fractures healed. The functional results after metacarpal fractures were better than those after phalangeal fractures and fractures of the middle phalanx had better recovery than those of the proximal phalanx. Twenty-eight of the 33 patients were satisfied with their result. External fixation proved to be a suitable technique for stabilising unstable, open fractures with severe soft-tissue injuries.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008663	Metacarpus	The region of the HAND between the WRIST and the FINGERS.
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D008904	Miniaturization	The design or construction of objects greatly reduced in scale.	Miniaturisation,Miniaturisations,Miniaturizations
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D004867	Equipment Design	Methods and patterns of fabricating machines and related hardware.	Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D004868	Equipment Failure	Failure of equipment to perform to standard. The failure may be due to defects or improper use.	Defects, Equipment,Device Failure,Failure, Equipment,Malfunction, Equipment,Medical Device Failure,Misuse, Equipment,Device Failure, Medical,Device Failures, Medical,Failure, Medical Device,Failures, Medical Device,Defect, Equipment,Device Failures,Equipment Defect,Equipment Defects,Equipment Failures,Equipment Malfunction,Equipment Malfunctions,Equipment Misuse,Equipment Misuses,Failure, Device,Failures, Device,Failures, Equipment,Malfunctions, Equipment,Misuses, Equipment
D005260	Female		Females
D005383	Finger Injuries	General or unspecified injuries involving the fingers.	Injuries, Finger,Finger Injury,Injury, Finger
D005385	Fingers	Four or five slender jointed digits in humans and primates, attached to each HAND.	Finger

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External fixation of metacarpal and phalangeal fractures.

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Rigid fixation of phalangeal and metacarpal fractures.

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