Open AccessThe first experience in the treatment of closed fractures of the metacarpal bones with the use of a short plaster cast
Author(s) -
I. Yu. Migulev,
G. A. Semiletov,
A. S. Mirzoyan
Publication year - 2022
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto99787
Subject(s) - medicine , wrist , metacarpal bones , fixation (population genetics) , surgery , splint (medicine) , palm , dentistry , orthodontics , population , physics , environmental health , quantum mechanics
Method of conservative treatment of closed II-V metacarpal bone fractures was suggested. It included closed reposition of bone fragments and fixation by short plaster dressing. That dressing was a sugar-tongs plaster splint spreading from the palm to the back of the wrist via ulnar (radius) margin of hand. Careful modeling of plaster dressing with fulcrums on the palm and the back of the wrist provided stable fixation of bone fragments. That method of treatment was applied in 129 patients with closed fractures of II V metacarpal bones. Complete bone fragments reduction was obtained in 81 patients (62.8%)), significant improvement in 39 patients (30.2%). Secondary displacement of bone fragments in plaster dressing was noted in 8 cases (6.2%)). At 1.52 months follow up the results were excellent in 65% of patients, good results were achieved in 16.5%o of cases and satisfactory results in 18.5%). Unsatisfactory results were not observed.