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Ho Kwon - One of the best experts on this subject based on the ideXlab platform.
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The Efficacy of Transverse Fixation and Early Exercise in the Treatment of Fourth Metacarpal Bone Fractures.
Archives of plastic surgery, 2016Co-Authors: Suk-ho Moon, Hak-soo Kim, Sung-no Jung, Ho KwonAbstract:BACKGROUND Several techniques have been designed to treat fifth Metacarpal Fractures reported to be effective. However, these methods cannot be easily applied to the fourth Metacarpal due to its central anatomical position. In this study, we sought to analyze the functional outcomes of patients who underwent transverse pinning for a fourth Metacarpal Bone Fracture. METHODS A total of 21 patients were selected and their charts were retrospectively reviewed. After Fracture reduction, two transverse Kirchner wires were first inserted from the fifth Metacarpal to the third Metacarpal transversely at the distal part of the Fractured Bone, and then another two wires were inserted at the proximal part of the Fractured Bone. The splint was removed approximately one week postoperatively and the Kirchner wires were removed four to five weeks postoperatively. Patients started active and passive exercise one week after the operation. Pain visual analog scores, total active and passive motion, and the active and passive range of motion of the metacarpophalangeal joint and grip strength were evaluated. RESULTS Dorsal angulation improved from a preoperative value of 44.2° to a postoperative value of 5.9°. Six weeks after surgery, functional recovery parameters, such as range of motion and grip strength, had improved to 98% of the function of the normal side. No major complication was observed. CONCLUSIONS We suggest that the transverse pinning of fourth Metacarpal Bone Fractures is an effective treatment option that is less invasive than other procedures, easy to perform, requires no secondary surgery, minimizes joint and soft tissue injury, and allows early mobilization.
Suk-ho Moon - One of the best experts on this subject based on the ideXlab platform.
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The Efficacy of Transverse Fixation and Early Exercise in the Treatment of Fourth Metacarpal Bone Fractures.
Archives of plastic surgery, 2016Co-Authors: Suk-ho Moon, Hak-soo Kim, Sung-no Jung, Ho KwonAbstract:BACKGROUND Several techniques have been designed to treat fifth Metacarpal Fractures reported to be effective. However, these methods cannot be easily applied to the fourth Metacarpal due to its central anatomical position. In this study, we sought to analyze the functional outcomes of patients who underwent transverse pinning for a fourth Metacarpal Bone Fracture. METHODS A total of 21 patients were selected and their charts were retrospectively reviewed. After Fracture reduction, two transverse Kirchner wires were first inserted from the fifth Metacarpal to the third Metacarpal transversely at the distal part of the Fractured Bone, and then another two wires were inserted at the proximal part of the Fractured Bone. The splint was removed approximately one week postoperatively and the Kirchner wires were removed four to five weeks postoperatively. Patients started active and passive exercise one week after the operation. Pain visual analog scores, total active and passive motion, and the active and passive range of motion of the metacarpophalangeal joint and grip strength were evaluated. RESULTS Dorsal angulation improved from a preoperative value of 44.2° to a postoperative value of 5.9°. Six weeks after surgery, functional recovery parameters, such as range of motion and grip strength, had improved to 98% of the function of the normal side. No major complication was observed. CONCLUSIONS We suggest that the transverse pinning of fourth Metacarpal Bone Fractures is an effective treatment option that is less invasive than other procedures, easy to perform, requires no secondary surgery, minimizes joint and soft tissue injury, and allows early mobilization.
Rong Min Baek - One of the best experts on this subject based on the ideXlab platform.
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Treatment of Metacarpal Bone Fracture Using Biodegradable Plates and Screws.
Archives of Plastic Surgery, 2011Co-Authors: Jeong Mok Cho, Seok Chan Eun, Rong Min BaekAbstract:Purpose: Metacarpal Fractures are common hand injury that may require operative intervention to ensure adequate reduction and stabilization. Traditionally, titanium miniplate was used for rigid fixation of Bone Fractures. However, the use of permanent plate lends itself to multiple complications such as infection, exposure of the hardware, tendon adhesions, tendon rupture, prolonged pain, bony atrophy and osteoporosis (stress shielding), metal sensitization, and palpation under the skin. This study evaluated the usefulness and stability of biodegradable plates and screws for treatment of Metacarpal Bone Fractures. Methods: There was 17 patients who had surgery for Metacarpal Bone Fracture from April 2007 to June 2010. All patients had open reduction and internal fixation. We used absorbable plates and screws (Inion CPS) for internal fixation. Postoperative results were assessed with x-ray. Stability of plates and screws, healing process and its complications were observed by clinical and radiographic assessment. Results: All patients were successfully reduced of Bone Fracture, and fixations with absorbable plates and screws were stable. The mean follow up period was 7.1 months. 2 patients complained postoperative pain, but they were relieved with analgesics. All patients experienced transient stiffness, but they were relieved with active assistive range of motion after removal of splint. No patients suffered complications which could be occurred by using metallic plate. Conclusion: There was no critical complications such as re-Fracture or nonunion among patients. No patients suffered side effects related with metallic implants. Biodegradable implants can offer clinically stable and attractive alternative to metallic implants to stabilize Metacarpal Bone Fractures in the hand.
Masaharu Tsubokura - One of the best experts on this subject based on the ideXlab platform.
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Finger Fractures as an Early Manifestation of Primary Hyperparathyroidism Among Young Patients: A Case Report of a 30-Year-Old Male With Recurrent Osteoporotic Fractures.
Medicine, 2016Co-Authors: Akihiko Ozaki, Tetsuya Tanimoto, Eiki Yamagishi, Shunsuke Sato, Manabu Tsukada, Toyoaki Sawano, Claire Leppold, Kenji Tsuda, Takanori Asakura, Masaharu TsubokuraAbstract:Osteoporosis and osteoporotic Fractures represent a substantial health burden, and predominantly affect the elderly. Younger generations may also develop these conditions because of various predisposing conditions, including primary hyperparathyroidism. However, little information is available regarding early skeletal manifestations of primary hyperparathyroidism. A 30-year-old Japanese male presented with pain in his left wrist, and was diagnosed with a distal radius Fracture. During surgery, we noticed decreased Bone strength of the Fracture site. Further investigation found osteoporosis and primary hyperparathyroidism owing to a solitary parathyroid adenoma, which was resected without significant complications. History revealed that the patient suffered a Metacarpal Bone Fracture of his right fifth Bone 6 months earlier. Although serial x-rays at that time had shown rapidly developed cortical Bone erosion around the Fractured finger, the possibility of primary hyperparathyroidism was overlooked because of poor awareness of the condition, leading to a 6-month delay in the diagnosis of primary hyperparathyroidism. Clinicians should be aware that finger Fractures may be an early skeletal manifestation of primary hyperparathyroidism that can help achieve a prompt diagnosis of the condition, especially when they occur in young adults in the absence of major trauma.
Sung-no Jung - One of the best experts on this subject based on the ideXlab platform.
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The Efficacy of Transverse Fixation and Early Exercise in the Treatment of Fourth Metacarpal Bone Fractures.
Archives of plastic surgery, 2016Co-Authors: Suk-ho Moon, Hak-soo Kim, Sung-no Jung, Ho KwonAbstract:BACKGROUND Several techniques have been designed to treat fifth Metacarpal Fractures reported to be effective. However, these methods cannot be easily applied to the fourth Metacarpal due to its central anatomical position. In this study, we sought to analyze the functional outcomes of patients who underwent transverse pinning for a fourth Metacarpal Bone Fracture. METHODS A total of 21 patients were selected and their charts were retrospectively reviewed. After Fracture reduction, two transverse Kirchner wires were first inserted from the fifth Metacarpal to the third Metacarpal transversely at the distal part of the Fractured Bone, and then another two wires were inserted at the proximal part of the Fractured Bone. The splint was removed approximately one week postoperatively and the Kirchner wires were removed four to five weeks postoperatively. Patients started active and passive exercise one week after the operation. Pain visual analog scores, total active and passive motion, and the active and passive range of motion of the metacarpophalangeal joint and grip strength were evaluated. RESULTS Dorsal angulation improved from a preoperative value of 44.2° to a postoperative value of 5.9°. Six weeks after surgery, functional recovery parameters, such as range of motion and grip strength, had improved to 98% of the function of the normal side. No major complication was observed. CONCLUSIONS We suggest that the transverse pinning of fourth Metacarpal Bone Fractures is an effective treatment option that is less invasive than other procedures, easy to perform, requires no secondary surgery, minimizes joint and soft tissue injury, and allows early mobilization.