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- Title
Comparison of Osteosynthesis Using Plates and Screws Versus Kirschner Wire Fixation for Unstable Metacarpal Fractures: a Retrospective Clinical Study.
- Authors
Neagu, Tiberiu Paul; Cocolos, Ion; Tiglis, Mirela; Grintescu, Ioana Cristina; Elfarra, Mazen; Sebe, Ioana Teona; Jecan, Cristian Radu; Lascar, Ioan
- Abstract
The hand is both a motor and sensory organ, and in terms of society, it is an organ of defense, of creation and an organ of expression. This is why hand surgery is very important and studies regarding the functional results of different treatments in order to treat injuries are necessary. In this paper, we presented the results of a retrospective clinical study in order to compare osteosynthesis using plates and screws (n=36) versus fi xation using Kirschner wires (n=32) in order to treat metacarpal fractures of 68 patients. The functional outcomes where assessed using the DASH and the TAM score measured at two and twelve months from surgery.The DASH scores were lower (showing better results) in the PS group compared to the KW group, with a mean difference of 20.53 after two months and 6.41 after twelve months, while the TAM scores were higher (235° at two and 261° at twelve months in the PS group compared with 218° at two and 257° at twelve months in the KW group). Therefore, we concluded that osteosynthesis using plates and screws leads to better functional recovery than osteoynthesis using Kirschner wire.
- Subjects
INTERNAL fixation in fractures; WOUND care
- Publication
Medicina Moderna, 2016, Vol 23, Issue 4, p308
- ISSN
1223-0472
- Publication type
Article