OSTEOSYNTHESIS OF COMPLEX COMMINUTED HAND BONE FRACTURES BY APPLYING THE LACING METHOD (A CLINICAL CASE STUDY)

Area of Science:

• Orthopedic surgery
• Traumatology
• Hand surgery

Background:

• Complex comminuted hand fractures present a significant challenge to healthcare systems, particularly in socio-economically developing regions.
• Effective and safe treatment options are crucial for restoring function and improving patient quality of life.

Purpose of the Study:

• To evaluate the efficacy and safety of the shoelace method for osteosynthesis in complex comminuted hand fractures.
• To present a clinical case study demonstrating the application and outcomes of this technique.

Main Methods:

• A clinical case study involving a 42-year-old female patient with a crushed wound and comminuted fracture of the 2nd finger of the left hand.
• Application of the shoelace method for hand bone osteosynthesis.
• Recording of surgical intervention time, time to return to work/daily activities, and time to bone fusion.

Main Results:

• The shoelace osteosynthesis procedure was completed in 24 minutes.
• The patient returned to work or daily activities in 7.1 weeks.
• Bone fusion was achieved in less than 45 days, indicating rapid healing.

Conclusions:

• The shoelace osteosynthesis method is a promising technique for managing complex comminuted hand fractures.
• This method demonstrates potential for enhancing performance and safety indicators in hand surgery.
• Further clinical practice may benefit from the adoption of the shoelace method for improved patient outcomes.