文章基本信息

标题：Comparison of Early Fixation and Late Fusion of 4, 5th Carpometacarpal Joint in the Intra-Articular Fractures of 4th and 5th Metacarpal Base
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作者：Yi, Chang Ho ; Oh, Jin Rok
期刊名称：Journal of the Korean Fracture Society
印刷版ISSN：1225-1682
出版年度：2011
卷号：24
期号：1
页码：60-66
DOI：10.12671/jkfs.2011.24.1.60
语种：Korean
出版社：The Korean Fracture Society
摘要：Purpose
To evaluate clinical results between early fixation group and delayed fusion group in treatment of intraarticular fracture of 4^th, 5^th metacarpal base.
Materials and Methods
From March 2002 to December 2006, 21 cases of early fusion and 11 cases of delayed fusion of 4, 5th carpometacarpal joint were reviewed retrospectively or were included in this study. Average follow up period is 39.9 months. Bony union was checked by plain films at follow up. DASH-questionnaire, VAS pain scale, grip power and range of motion of 4^th, 5^th metacarpophalangeal joint were also checked at last follow up.
Results
In radiologic study, bony union was confirmed in all cases of two groups. Early fixation group showed better outcomes than delayed fusion group in range of motion, DASH-questionnaire and VAS pain scale with statistical significant (p<0.004).
Conclusion
Because early fixation group showed better clinical outcomes than delayed fusion group, early diagnosis and proper surgical treatment are important for better outcomes in treatment of intraarticular fracture of 4^th, 5^th metacarpal base.
关键词：4th, 5th metacarpal base; Early fixation; Delayed fusion