Results of Treatment of Oblique and Spiral Phalangeal Fractures of the Hand by Mini Lag Screws

Document Type : Original Article

Authors

Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University

Abstract

Background: Fractures of the hand represent a considerable burden upon the society in terms of medical costs and reduced workplace productivity. Aim of the work: The study aimed to evaluate the clinical outcome of patients with oblique and spiral phalangeal fracture managed with mini-screws fixation. Patients and Methods: A total of 20 patients presented with oblique and spiral phalangeal fractures were treated by mini-screw fixation and were followed for a minimum of 6 months. The mean age of the patients was 33 years, ranging from 19 to 46 years. Eleven cases were males and nine were females. Results: The functional results were graded as excellent in 14 patients (70%), good in two patients (10%), fair in two patient (10%), and poor in two patients (10%). The excellent and good results were considered as satisfactory, while the unsatisfactory included the fair and poor results. Thus, satisfactory results were found in 16 patients (80%), and the unsatisfactory ones were found in four patients only (20%). Conclusion: Mini screw fixation offers an effective, simple and reliable method for treatment of oblique and spiral fracture with low incidence of complication.

Keywords

The Egyptian Journal of Hospital Medicine
Volume 76, Issue 4
July 2019
Pages 3882-3890

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