Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,

Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,

OBJECTIVE: to demonstrate a surgical technique for treating neck fractures of the fifth metacarpal, by means of reduction through intra-focal manipulation and percutaneous fixation using Kirschner wires, with the aims of making it easier to achieve and maintain the reduction during the operation and enabling reduction of these fractures even if a fibrous callus has formed.METHODS: a series of ten patients with neck fractures of the fifth metacarpal presenting palmar angles greater than 30◦ underwent the surgical technique described, as examples, and their results were evaluated through postoperative radiographs and clinical examinations.RESULTS: all the patients achieved reductions that were close to anatomical and evolved to consolidation of the fracture in the position obtained.CONCLUSION: the surgical technique described is effective, easy to carry out, minimally invasive and low-cost, thereby enabling adequate clinical and radiographic reduction, even in subacute fractures already presenting a fibrous callus.

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Main Authors: Ferreira,Gustavo Pacheco Martins, Pires,Paulo Randal, Portugal,André Lopes, Schneiter,Henrique de Gouvêa
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000200116
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spelling oai:scielo:S0102-361620140002001162015-09-22Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,Ferreira,Gustavo Pacheco MartinsPires,Paulo RandalPortugal,André LopesSchneiter,Henrique de Gouvêa Metacarpal Bone fractures Upper limb Bone Wires OBJECTIVE: to demonstrate a surgical technique for treating neck fractures of the fifth metacarpal, by means of reduction through intra-focal manipulation and percutaneous fixation using Kirschner wires, with the aims of making it easier to achieve and maintain the reduction during the operation and enabling reduction of these fractures even if a fibrous callus has formed.METHODS: a series of ten patients with neck fractures of the fifth metacarpal presenting palmar angles greater than 30◦ underwent the surgical technique described, as examples, and their results were evaluated through postoperative radiographs and clinical examinations.RESULTS: all the patients achieved reductions that were close to anatomical and evolved to consolidation of the fracture in the position obtained.CONCLUSION: the surgical technique described is effective, easy to carry out, minimally invasive and low-cost, thereby enabling adequate clinical and radiographic reduction, even in subacute fractures already presenting a fibrous callus.info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.49 n.2 20142014-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000200116en10.1016/j.rboe.2014.03.013
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Ferreira,Gustavo Pacheco Martins
Pires,Paulo Randal
Portugal,André Lopes
Schneiter,Henrique de Gouvêa
spellingShingle Ferreira,Gustavo Pacheco Martins
Pires,Paulo Randal
Portugal,André Lopes
Schneiter,Henrique de Gouvêa
Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,
author_facet Ferreira,Gustavo Pacheco Martins
Pires,Paulo Randal
Portugal,André Lopes
Schneiter,Henrique de Gouvêa
author_sort Ferreira,Gustavo Pacheco Martins
title Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,
title_short Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,
title_full Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,
title_fullStr Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,
title_full_unstemmed Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,
title_sort intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique,
description OBJECTIVE: to demonstrate a surgical technique for treating neck fractures of the fifth metacarpal, by means of reduction through intra-focal manipulation and percutaneous fixation using Kirschner wires, with the aims of making it easier to achieve and maintain the reduction during the operation and enabling reduction of these fractures even if a fibrous callus has formed.METHODS: a series of ten patients with neck fractures of the fifth metacarpal presenting palmar angles greater than 30◦ underwent the surgical technique described, as examples, and their results were evaluated through postoperative radiographs and clinical examinations.RESULTS: all the patients achieved reductions that were close to anatomical and evolved to consolidation of the fracture in the position obtained.CONCLUSION: the surgical technique described is effective, easy to carry out, minimally invasive and low-cost, thereby enabling adequate clinical and radiographic reduction, even in subacute fractures already presenting a fibrous callus.
publisher Sociedade Brasileira de Ortopedia e Traumatologia
publishDate 2014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000200116
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AT portugalandrelopes intrafocalreductionandpercutaneousfixationofneckfracturesofthefifthmetacarpaldescriptionofsurgicaltechnique
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