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Closed Reduction and Percutaneous K-Wires Versus Open Reduction and Interosseous Loop Wires for Displaced Unstable Transverse Fractures of the Shaft of the Proximal Phalanx of the Fingers in Industrial WorkersFrom the King Saud University, Riyadh, Saudi Arabia Correspondence: Prof M.M. Al-Qattan, King Saud University, Riyadh, Saudi Arabia. E-mail: moqattan{at}hotmail.com. Seventy-eight male industrial workers with displaced unstable transverse fractures of the shaft of the proximal phalanx of the fingers were divided into two groups: Group 1 (n = 40 men, mean age = 34 years, range = 22–46 years) was treated with closed reduction and percutaneous K-wires, and Group 2 (n = 38 men, mean age = 33 years, range = 20–48 years) was treated with open reduction and interosseous loop wire fixation. At final follow-up, the total active motion (TAM) score of the injured finger was graded as excellent, good, fair or poor if it was greater than 240°, 220°, 180° or less than 180°, respectively. Group 2 had significantly better overall TAM scores than Group 1 (P = 0.03). The complication rate was higher in Group 1 than Group 2 (28% versus 11%) but the difference did not reach statistical significance (P = 0.084). The results were compared with those reported by other authors and other techniques of fixation of these fractures.
Key Words: fractures • shaft • proximal phalanx
This version was published on October
1, 2008 Journal of Hand Surgery (European Volume), Vol. 33, No. 5,
552-556 (2008) |
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