Outcomes of low-profile plate-screw osteosynthesis in unstable extra-articular fractures of the proximal phalanx

Authors : Ali ŞAHİN, Muhammet Salih AYAS, Ali AYDIN

Pages : 105-111

View : 43 | Download : 16

Publication Date : 2020-03-02

Article Type : Research Paper

Abstract :In this study, we aimed to present radiologic and functional outcomes of extra articular proximal phalangeal fractures treated with low profile plate and screw osteosynthesis. The study included 20 patients who had undergone osteosynthesis with low profile plate and non-locking screws due to extra-articular closed proximal phalangeal instable fractures. Clinical and radiologic data were evaluated retrospectively. Postoperative 6th month follow up data were obtained and statistically analyzed. Active and passive range of motion of the metacarpophalangeal and interphalangeal joint; total active motion grip strength of injured and uninjured visual analog scale for pain DASH score have been evaluated, distance between pulpa and palmar curve is measured. Belsky score, presence of reoperation and complications were noted. The mean time to radiologic union was 4.2 insert ignore into journalissuearticles values(3-6); weeks. Functional evaluation of the patients revealed a mean MCF flexion of 87.3 insert ignore into journalissuearticles values(75-90);, a mean PIP flexion of 94.3 insert ignore into journalissuearticles values(65-100);, mean DIP flexion of 77.6 insert ignore into journalissuearticles values(75-80);, mean total active motion of 259 insert ignore into journalissuearticles values(210-270); degrees. Grip strength in the injured hand was 52.7 insert ignore into journalissuearticles values(40-58); kgw, and in the uninjured hand it was 54.4 insert ignore into journalissuearticles values(42-60); kgw. There was no statistically significant difference in grip strenght insert ignore into journalissuearticles values(p<0.05);. The mean visual analogue scale score was 0.8 insert ignore into journalissuearticles values(0-2);. The mean DASH score was 7 insert ignore into journalissuearticles values(2-27); and the mean distance between pulpa and palmar curve was 3 insert ignore into journalissuearticles values(0-8); mm. Open reduction and low-profile plate and screw fixation of proximal phalangeal fracture in treatment of unstable extra-articular fractures of the proximal phalanx with early rehabilitation yields satisfactory functional and radiologic outcomes.
Keywords : proximal phalanx, fracture, unstable, extra articular

ORIGINAL ARTICLE URL