A Comparison between Open Versus Closed Reduction in the Treatment of Fractures of the Base of the First Metacarpal Bone | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 7, Volume 47, Issue 3, July 2023, Pages 201-206 PDF (1.18 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.309718 | ||
| Authors | ||
| Mohamed S Mansour* 1; Mohammed R El Hadidy2; Ali S Ali Salem3; Reda A. A. Yoounes4 | ||
| 1The Department of Plastic Surgery*, Al-Azhar Teaching Hospital | ||
| 2Department of Plastic Surgery; Mansoura Unisersity | ||
| 3General Surgery Department, Faculty of Medicine, Mansoura University | ||
| 4Plastic Surgery Department, Faculty of Medicine, ZagazigUniversity | ||
| Abstract | ||
| Background: Fracture of the thumb occurs most frequently. Thumb damage is expected to occur in 4% of hands fractures, while thumb impairment as a whole reduces 22% of body function. 20% of all fractures of the first metacarpal are caused by the Rolando fracture. Treatment of these fractures is still controversial. There are numerous different surgical therapy options. Objective: To find an effective method for treating bone fractures in the first metacarpal base. Patients and Techniques: This study included 40 patients presented with a fracture at the base of the first metacarpal bone at Plastic Surgery Department, Mansoura University and Al-Azhar Hospital. Patients were divided into closedloop < br />reduction fixed with K-wire (group A), open reduction and internal fixation with plate and screw (group B). Results: Bennet fracture was the most frequent type. First week postoperative follow-up there were statistically significant higher rate of edema, pain, and movement limitation in the open group (group B). Range of movement in open group < br />(group B) was significantly lower than closed group (group < br />A). Conclusion: K-wire Fixation is a beneficial treatment option for a comminuted fracture of the first metacarpal base. The optimum approach would be to combine closed anatomic reduction with effective K-wire fixation of the fracture fragments with early mobilization to prevent joint stiffness. | ||
| Keywords | ||
| First Metacarpal Bone; Bennett and Rolando's Fracture; K-Wire; Screw | ||
| References | ||
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