| A prospective randomized controlled study of fixation of long oblique and spiral shaft fractures of the proximal phalanx: closed reduction and percutaneous Kirschner wiring versus open reduction and lag screw fixation. | |
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MedLine Citation:
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PMID: 12531659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with an isolated spiral or long oblique fracture of the proximal phalanx were randomized into two groups. One was treated by closed reduction and Kirschner wire fixation and the second treated by open reduction and lag screw fixation. An independent observer assessed function, pain, movement, grip strength and intrinsic muscle function. X-rays were assessed for malunion. Thirty-two patients were entered the study and 15 in the Kirschner wire and 13 in the lag screw group were reviewed at a mean follow-up of 40 months. There was no significant difference in the functional recovery rates or in the pain scores for the two groups. X-rays showed similar rates of malunion and there were no statistically significant differences in range of movement or grip strength. |
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Authors:
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T C Horton; M Hatton; T R C Davis |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of hand surgery (Edinburgh, Scotland) Volume: 28 ISSN: 0266-7681 ISO Abbreviation: J Hand Surg Br Publication Date: 2003 Feb |
Date Detail:
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Created Date: 2003-01-17 Completed Date: 2003-06-10 Revised Date: 2009-06-08 |
Medline Journal Info:
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Nlm Unique ID: 8403839 Medline TA: J Hand Surg Br Country: Scotland |
Other Details:
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Languages: eng Pagination: 5-9 Citation Subset: IM |
Affiliation:
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Department of Trauma and Orthopaedics, University Hospital Queens Medical Centre, Nottingham, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Bone Screws* Bone Wires* Chi-Square Distribution Female Finger Injuries / surgery* Fracture Fixation / methods* Fractures, Bone / surgery* Humans Male Middle Aged Postoperative Complications / epidemiology Prospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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