![]() ![]() Piñal uses his minimally invasive fixation technique for phalangeal and metacarpal fractures, by means of intramedullary insertion of headless cannulated screws, between 3 and 4 mm in diameter depending on the type of injury. In the composition, cannulated screw insertion in the patient’s left hand little finger and ‘reflection’ in fluoroscopic image of the same action. In turn, the elimination of any subsequent discomfort and the minimizing the aesthetic impact of the procedure are pursued. Piñal and his surgical unit are to achieve an osteosynthesis, that is to say, the reduction-healing of the fractures, that facilitates an immediate postoperative mobilization and that reduces the time of recovery. As additional note, the image already shows the functional recovery of the limb just one week after the intervention performed by the Spanish surgeon. The patient suffered considerable crushing wounds in his left hand, treated before of his attention by Dr. Together with bone damage, the trauma suffered causes the patient serious injuries, prior to his arrival at the clinic of Dr. Piñal also discards the use of plaques to achieve osteosynthesis in a case of this kind (double right image) since implying a significantly longer duration of surgery and a longer immobilization period, together with a higher level of uncertainty about its outcome. Loss of mobility after surgery and healing of fractured areas can be seen. In the left double image, X-ray (the lines are image artifices generated by metallic elements of the gauze) and result of application of Kirschner needles in finger fractures. Find a hand surgeon near you.Axial tomography (CT) images allow the preoperative picture of multifragmentary fractures of the patient’s proximal phalanges to be observed.ĭuring this waiting period complications such as the adhesion or ‘gluing’ of the tendons to the bone may arise, which causes loss of function in the affected area after fracture recovery. This content is written, edited and updated by hand surgeon members of the American Society for Surgery of the Hand. © 2015 American Society for Surgery of the Hand Occasionally, additional treatment or surgery is needed. Severe wrist fractures can result in arthritis in the joint. Even then, some patients may have stiffness or aching. It is not unusual for recovery to take months. Recovery time varies and depends on a lot of factors. Hand therapy is often helpful to recover motion, strength and function. Your hand surgeon will have you start moving your wrist at the right time for your fracture. Recoveryĭuring recovery, it is very important to keep your fingers moving to keep them from getting stiff. Your hand surgeon will discuss the options that are best for your healing and recovery. In these cases, a bone graft may be added to help the healing process. ![]() Sometimes the bone is so severely crushed that there is a gap in the bone once it has been realigned. A small camera might be used to help visualize the joint from the inside. Pins, screws, plates, rods or external fixation can all be used (Figure 2). Other fractures may benefit from surgery to put the broken bones back together and hold them in correct place.įractures may be fixed with many devices. If the fracture is not too unstable, a cast may be used to hold a fracture that has been set. Your age, job, hobbies, activity level, and whether it is your “dominant” handĪ padded splint might be worn at first in order to align the bones and support the wrist to provide some relief from the initial pain. ![]() Type of fracture, whether it is displaced, unstable or open.Treatment depends on many factors, including: This can cause an increased risk of infection in the bone. An open fracture occurs when a fragment of bone breaks and is forced out through the skin. These severe types of fractures often require surgery to restore and hold their alignment. Fractures that break apart the smooth joint surface or fractures that shatter into many pieces (comminuted fractures) may make the bone unstable. Some fractures are more severe than others. In unstable fractures, even if the bones are put back into position and a cast is placed, the bone pieces tend to move or shift into a bad position before they solidly heal. Some “displaced” breaks (which need to be put back into the right place, called “reduction” or “setting”) also can be stable enough to treat in a cast or splint. “Non-displaced” breaks, in which the bones do not move out of place initially, can be stable. This is called a distal radius fracture by hand surgeons (Figure 1). Although a broken wrist can happen in any of these 10 bones, by far the most common bone to break is the radius. The wrist is made up of eight small bones which connect with the two long forearm bones called the radius and ulna. A wrist fracture is a medical term for a broken wrist. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |