TREATMENT OF DIAPHYSEAL FRACTURES OF THE METACARPAL BONES

  • Saodat Asilova MD, Professor, Head of Department of Traumatology Orthopaedics FS with neurosurgery, Tashkent Medical Academy.
  • Azizjon Khaydarov Department of Traumatology Orthopaedics FS with neurosurgery, Tashkent Medical Academy.
Keywords: Diaphyseal fractures, Metacarpal bones, Treatment, Osteosynthesis

Abstract

Presented the experience of the application of stable osteosynthesisby three Kirschner wires on diaphyseal fractures of the metacarpal bones at 74 patients.Indications for osteosynthesiswas opened (6%), closed (94%), non-united, mal-unitedfractures and false joints of metacarpal bonesdiaphysis. Patients were performed intraosseous anesthesia atdistal epimetaphysisarea of radial bone.Describeda method of operation extramedullaryosteosynthesis using three Kirschner wires. Also,describedmethod of wedge osteotomy for full recovery of hand function. Good results were obtained in 83.1% of patients, satisfactory at 13.6%, and unsatisfactory results in 3.4% of patients

References

Shihalёva N.G., C. I. (2009 ). Treatment of patients with closed fractures of the distal metacarpals metaepiphysis using transosseousosteosynthesis. The genius of orthopedics, (№2) 40-45.

Beidik O.V., O. N. (2006 ). Topographic study trans-osseous osteosynthesis short tubular bones of the hand. The genius of orthopedics (№2) , 18-21.

Miguleva I.J., G. S. ( 2004 ). Treatment of closed fractures of II-V metacarpal bones. Russian Medical Journal. (№6), 51-54.

Zerdedzhi M., I. M. (2008). Application osteosynthesis spoke with open comminuted fractures of the phalanges and metacarpals. Doctor. (№6), 80-82.

Scheker L.R., A. O. (2007). Radical debridement, free flap coverage and immediate reconstruction of the upper extremity . Hand Clin , 23-24.

Published
2015-12-18
Section
Articles