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Carpometacarpal dislocations. Long-term follow-up.

J F Lawlis1, S F Gunther

  • 1Department of Orthopaedic Surgery, Washington Hospital Center, D.C. 20010.

The Journal of Bone and Joint Surgery. American Volume
|January 1, 1991
PubMed
Summary
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Open reduction and internal fixation for medial four carpometacarpal joint dislocations yield excellent long-term results in most patients. Early treatment within three weeks is crucial for optimal outcomes in hand surgery.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Medial four carpometacarpal joint dislocations can significantly impact hand function.
  • Understanding the long-term outcomes of surgical intervention is essential for patient management.

Purpose of the Study:

  • To evaluate the long-term results of open reduction and internal fixation for medial four carpometacarpal joint dislocations.
  • To identify factors influencing treatment success and failure.

Main Methods:

  • A retrospective follow-up study of twenty patients with medial four carpometacarpal joint dislocations.
  • Fifteen patients underwent open reduction and internal fixation within three weeks of injury.

Main Results:

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  • Thirteen of the fifteen surgically treated patients achieved excellent long-term results.
  • Unsatisfactory outcomes were associated with injuries to the second and third carpometacarpal joints or ulnar nerve damage.

    • Conclusions:

    • Open reduction and internal fixation is an effective treatment for medial four carpometacarpal joint dislocations.
    • Early surgical intervention improves the likelihood of excellent long-term outcomes.