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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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Review Article
Hand Fractures
Seokwon Yang, Jong Pil Kim
J Korean Fract Soc 2018;31(2):61-70.   Published online April 30, 2018
DOI: https://doi.org/10.12671/jkfs.2018.31.2.61
AbstractAbstract PDF
Hand fractures are the second most common fracture in the upper extremities after the distal radius, and patients with these injuries may be experienced in hand surgery clinics. On the other hand, during the treatment of hand fractures, complications can occur due to complex functions of the hand and small-sized injuries to the bone and soft tissues. This review focused on the principles of management of these fractures, including injury mechanism, evaluations and recent treatment options. Minimally invasive surgery in various types of hand fractures, including the phalanx and metacarpal bone, is preferred because early mobilization after surgery has been emphasized to reduce complications, such as stiffness.

Citations

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  • A novel finger brace for preventing finger stiffness after trauma or surgery: a preliminary report with a case series
    Dae-Geun Kim, Hyo Jun Park
    Archives of Hand and Microsurgery.2023; 28(4): 239.     CrossRef
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Original Article
Autogenous Iliac Bone Grafting for the Treatment of Nonunion in the Hand Fracture
Joo Yong Kim, Young Keun Lee, Ki Chan An, Tae Woo Sung
J Korean Fract Soc 2011;24(2):163-168.   Published online April 30, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.2.163
AbstractAbstract PDF
PURPOSE
To evaluate autogenous iliac bone graft for nonunion after hand fracture.
MATERIALS AND METHODS
From October 2006 through September 2008, we analyzed 35 patients, 37 cases of autogenous iliac bone graft for nonunion after hand fracture that have followed up for more than 12 months. We analyzed about etiology, fracture site, initial treatment, time to bone graft, grafted bone size, grafted bone fixation method, radiologic time of bony healing and bone union rate retrospectively. Also we evaluated VAS and range of motion of each joints (MCP, PIP, DIP) at final follow-up assessment.
RESULTS
Etiology was open fracture 23 cases (62.2%), crushing injury 12 cases (32.4%), direct trauma 2 cases (5.4%). Fracture site was metacarpal bone 7 cases, proximal phalanx 17 cases, middle phalanx 8 cases, distal phalanx 5 cases. Time to bone graft was average 20.7 weeks. Grafted bone fixation method was fixation with K-wire 27 cases (73.0%), fixation with only plate 6 cases (16.2%), fixation with K-wire plus plate 2 cases (5.4%), fixation with K-wire plus cerclage wiring 2 cases (5.4%). Grafted bone size was average 0.93 cm3 and bony union time was average 11.1 weeks and we had bone union in all cases.
CONCLUSION
Autogenous iliac bone graft is the useful method in the reconstruction of non-union as complication after hand fracture.
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