B08 Fractures of long bones of the hand

Autoři/Authors: Mihály, Bujňák

Pracoviště/Workplace:

Délka prezentace/presentation time: 7 min.

Summary:

There have been evaluated 102 patients with 124 fractures of long bones of the hand. All of the patients were treated in the Dep. of Trauma surgery of the Faculty Hospital J.A.R. in Prešov, SR in a period of 5  years /2006-2010/.
The patients were devided in two groups. The group1: 87 patients who suffered  fractures without a concomitant injury of flexor or extensor tendon of the fingers of the hand and the group 2: 15 patients who suffered the concomitant injury of the flexor tendon and the fracture of the long bones of the hand.
A timing of definitive stabilization, a mode of a stabilization and an active range of motion after a treatment were evaluated and compared betwen these two groups. The TAM and the DASH outcome measures were used to evaluate the results.
There have been found that urgent definitve stabilization till 24 hours after an injury were done in 13 of 15 patients in the group 2 and was not done in any of patients in the group 1. There have been found that excellent or very good results were obtained in 80% of the patients of the group 1 with the fracture of metacarpal bones and in 37% of patients of the group 1 with the fractures of fingers but only in 3 patients of the group 2, which has been 20%.
There have been found that the same fracture in these two groups could not always be stabilized by the same manner and that the stabilization of the fracture with the concomitant injury of the flexor tendon  must be done very precisely to alloe an early movement of the fracture becouse the early rehabilitation is the best prevention  of the adhesions of repaired tendons.