Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Borbas, P; Dreu, M; Poggetti, A; Calcagni, M; Giesen, T.
Treatment of proximal phalangeal fractures with an antegrade intramedullary screw: a cadaver study.
J Hand Surg Eur Vol. 2016; 41(7):683-687
Doi: 10.1177/1753193416641319
Web of Science
PubMed
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- Dreu Manuel
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- Abstract:
- The aim of this study was to quantify the articular cartilage defect created with two different antegrade techniques of intramedullary osteosynthesis with a headless compression screw inserted through the metacarpophalangeal joint. In 12 out of 24 fingers from six cadaveric hands, a trans-articular technique with cannulated headless compression screws (2.2 and 3.0 mm diameter) was used; whereas in the other 12 fingers, an intra-articular fixation technique was used. The areas of the articular surface and the defects created were measured with a digital image software program. All measurements were made twice by two observers. In the intra-articular technique, the average defect in the base of the articular surface of the proximal phalanx was 4.6% with the 2.2 mm headless compression screw and 8.5% with the 3.0 mm screw. In the trans-articular technique, the defect size was slightly smaller; 4.2% with the 2.2 mm screw and 8% with the 3.0 mm screw, but the differences were not statistically significant. The main advantage of the intra-articular technique was that it avoided damage to the articular surface of the metacarpal head. © The Author(s) 2016.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Bone Screws -
- Cadaver -
- Female -
- Finger Phalanges - injuries
- Fracture Fixation, Internal - instrumentation
- Fractures, Bone - pathology
- Fractures, Bone - surgery
- Humans -
- Male -
- Metacarpophalangeal Joint - pathology
- Metacarpophalangeal Joint - surgery
- Find related publications in this database (Keywords)
- Proximal phalanx
- finger fracture
- intramedullary osteosynthesis
- cartilage defect
- headless compression screw