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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Metacarpal and phalangeal osteotomy with miniplate fixation.
    Author: Sanders RA, Frederick HA.
    Journal: Orthop Rev; 1991 May; 20(5):449-56. PubMed ID: 2067880.
    Abstract:
    We reviewed the results of corrective oseotomies performed with power tools for symptomatic malunions of metacarpal and phalangeal fractures in 10 patients. At an average follow-up of 30 months, all patients had a healed osteotomy with correct alignment and had an average increase of 30 degrees in the flexion arc of the involved digit. We recommend a surgical technique of miniplate fixation over K-wire fixation where possible; it allows precise, intraoperative correction and rigid stabilization. A shortened immobilization time and early motion are significant advantages of plate fixation. However, plates cannot be used across open growth plates or directly over areas of tendon insertion. A careful preoperative plan should always be prepared prior to any corrective osteotomy. Problems such as post-operative tendinous adhesions did not occur, nor did nonunions or delayed unions.
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