Aproximación a la elección adecuada del tornillo intramedular para el tratamiento de las fracturas de los huesos de la mano — estudio radiológico en metacarpiano y falanges proximales y medias

María Jesús Rivera Vegas; Pablo Martínez Núñez; Rebeca Astorga Veganzones

doi:10.1055/s-0038-1656544

Revista Iberoamericana de Cirugía de la Mano, Table of Contents

CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2018; 46(01): 026-033
DOI: 10.1055/s-0038-1656544

Original Article | Artículo Original

Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Approach to the Adequate Choice of the Intramedullary Screw for the Treatment of Hand Bone Fractures — Radiological Study in Metacarpals and Proximal and Medial Phalanges

Article in several languages: español | English

María Jesús Rivera Vegas

¹Medico Adjunto del Servicio de Cirugía Plástica, Estética y Reparadora del Hospital Universitario de Burgos, Burgos, España

,

Pablo Martínez Núñez

²Médico Interno y Residente del Servicio de Cirugía Plástica, Estética y Reparadora del Hospital Universitario de Burgos, Burgos, España

,

Rebeca Astorga Veganzones

²Médico Interno y Residente del Servicio de Cirugía Plástica, Estética y Reparadora del Hospital Universitario de Burgos, Burgos, España

› Author Affiliations

Abstract

Introduction One option to treat unstable and transverse fractures of the phalanges and metacarpals is intramedullary screw fixation. So far there are no references in the literature on how to choose the most appropriate screw in each case despite leaving more frequent use. However, Non-negligible complications may result in incorrect screw selection.

Material and Method One hundred radiographs were studied, in postero-anterior and oblique projection. Long fingers were measure. We were looking for the limiting measured, which is defines as the smallest dimension of the medullary in a cross-section of the bone. The limiting measure will indicate the screw that we should use.

Results A great variability was found in limiting measure. This variability was equal when studied men and women. Inverse linear regression between size of the medullar and cortical bone was observed.

Conclusions Measure the medullar of the fractured bone is an easy, fast and cheap strategy which can allow better results when we treat fractures with intramedullary screws.

Keywords

metacarpal fractures - cannulated screws - intramedullary fixation - phalangeal fractures

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References

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