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Compression osteosynthesis in the hand using a small nail-plate

E Paneva-Holevich

    The Journal of Bone and Joint Surgery. American Volume
    |June 1, 1977
    PubMed
    Summary

    A novel self-compression nail-plate offers stable osteosynthesis for hand and finger fractures, including non-unions and malunions. This surgical technique achieved bone union in all cases without impacting adjacent joint mobility.

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    International orthopaedics·1982

    Area of Science:

    • Orthopedic Surgery
    • Biomedical Engineering

    Background:

    • Metacarpal and phalangeal fractures often present challenges in achieving stable osteosynthesis.
    • Malunion and non-union complicate fracture healing, necessitating effective surgical interventions.
    • Interphalangeal arthrodesis requires reliable fixation for successful joint fusion.

    Purpose of the Study:

    • To describe a small self-compression nail-plate for osteosynthesis of metacarpal and phalangeal fractures.
    • To evaluate the efficacy of this device in treating malunion and non-union.
    • To assess its utility in interphalangeal arthrodesis and its impact on adjacent joint motion.

    Main Methods:

    • A small self-compression nail-plate was utilized for osteosynthesis.
    • The procedure was performed 25 times in 21 patients.
    • Indications included malunion, non-union, and interphalangeal arthrodesis.

    Main Results:

    • Bone union was achieved in all 25 cases without exception.
    • No adverse effects on the range of motion in adjacent joints were observed.
    • The nail-plate proved effective for both fracture fixation and joint arthrodesis.

    Conclusions:

    • The small self-compression nail-plate provides stable and reliable osteosynthesis for metacarpal and phalangeal fractures.
    • It is a safe and effective option for treating complex fracture complications and for interphalangeal joint fusion.
    • The technique preserves adjacent joint mobility, contributing to favorable patient outcomes.

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