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Journal of Hand Surgery (British and European Volume)
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Articles

The Role of Low-Profile Titanium Miniplates in Emergency and Elective Hand Surgery

S. T. O’SULLIVAN
G. LIMANTZAKIS
S. P. J. KAY

From the Department of Plastic, Reconstructive and Hand Surgery, St James’s University Hospital, Leeds, UK

Correspondence: S. P. J. Kay FRCS(Plas), Department of Plastic, Reconstructive and Hand Surgery, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK.

We report our experience of a low-profile mini-plating system in the treatment of fractures of the hand in 57 consecutive patients (five children and 52 adults).

Thirteen procedures were performed electively, and 44 procedures were performed on an emergency basis. Indications for plating included fixation of metacarpal (36) and phalangeal (eight) fractures, bony fixation following rotation osteotomy (six) digital replantation (two) or free toe transfer (two).

Seventeen patients had postoperative problems, including restricted range of motion (12), rotation deformity (two), significant cold intolerance (two) or fracture (two). Plate removal was required in seven patients, twice as a result of a second injury, and plate removal was unsuccessfully attempted in one other patient. Two patients required extensor tenolysis.

We have found this system to be useful for bony fixation in the hand. However, as with other methods of internal fixation in the hand, there may be complications.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 3, 347-349 (1999)
DOI: 10.1054/JHSB.1998.0217
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