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무지 중수지 관절 척측부 인대 견열 골절의 소형 갈고리 금속판 고정술 치료

Other Titles
 Mini Hook Plate Fixation for the Thumb Ulnar Collateral Ligament Fracture-Avulsion 
Authors
 이상윤  ;  우상현  ;  강호정 
Citation
 Archives of Hand and Microsurgery, Vol.24(2) : 142-151, 2019 
Journal Title
 Archives of Hand and Microsurgery 
ISSN
 2586-3290 
Issue Date
2019
Abstract
Purpose: Ulnar collateral ligament (UCL) avulsion fractures of thumb metacarpophalangeal joint (MCPJ) involve small bony fragments that are usually attached to structures that are necessary for stability or movement of the joint. Satisfactory reduction can be difficult because of the small size of the fragments. The aim of this article is to analyze outcomes of this technique. Methods: We used a 1.2 mm titanium hook plate in seven patients with thumb UCL avulsion fracture of MCPJ, with a mean age of 33 years. The mean time from injury to operation was 13 days. Bone union was determined through radiographs. Clinical outcomes were evaluated by assessing range of motion (ROM) of the thumb MCPJ, pinch strength, grip strength, the visual analogue scale (VAS), and Korean version of the Michigan Hand Outcomes Questionnaire (K-MHQ) score. Results: All patients achieved bone union within 3 months and mean follow-up period was 14.3 months. The postoperative ROM and VAS pain score improved. Grip and pinch strength were lower than the other hand but not statistically significant. No instability was observed. In addition, postoperative K-MHQ scores showed good results. One patient underwent hardware removal because of skin irritation and abnormal sensation. There were no other complications. Conclusion: Mini hook plate fixation technique produced stable fixation and showed good clinical and radiologic outcomes in avulsion fracture of thumb MCPJ.
DOI
10.12790/ahm.2019.24.2.142
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173507
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