[Treatment of metacarpal fractures. Recommendations of the Hand Surgery Group of the German Trauma Society]
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[Treatment of metacarpal fractures. Recommendations of the Hand Surgery Group of the German Trauma Society]. / Windolf, J; Rueger, Johannes Maria; Werber, K D; Eisenschenk, A; Siebert, H; Schädel-Höpfner, M.
in: UNFALLCHIRURG, Jahrgang 112, Nr. 6, 6, 2009, S. 577-589.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [Treatment of metacarpal fractures. Recommendations of the Hand Surgery Group of the German Trauma Society]
AU - Windolf, J
AU - Rueger, Johannes Maria
AU - Werber, K D
AU - Eisenschenk, A
AU - Siebert, H
AU - Schädel-Höpfner, M
PY - 2009
Y1 - 2009
N2 - The major goal in the treatment of metacarpal fractures is to restore the normal function of the hand. Radiological criteria and the clinical extent of displacement should be individually considered when taking the decision for or against conservative treatment. Internal fixation techniques must protect soft tissue structures. Small screws and plates have proven effective for head and shaft fractures, whereas intramedullary splinting is favoured for neck fractures. In instable and displaced fractures of the base of the first metacarpal, surgery is regularly performed to restore the bony shape and articular surface. To prevent functional impairments, early mobilization is desirable both during conservative treatment and following internal fixation.
AB - The major goal in the treatment of metacarpal fractures is to restore the normal function of the hand. Radiological criteria and the clinical extent of displacement should be individually considered when taking the decision for or against conservative treatment. Internal fixation techniques must protect soft tissue structures. Small screws and plates have proven effective for head and shaft fractures, whereas intramedullary splinting is favoured for neck fractures. In instable and displaced fractures of the base of the first metacarpal, surgery is regularly performed to restore the bony shape and articular surface. To prevent functional impairments, early mobilization is desirable both during conservative treatment and following internal fixation.
KW - Humans
KW - Fracture Fixation instrumentation
KW - Fractures, Bone surgery
KW - Hand Injuries surgery
KW - Immobilization instrumentation
KW - Metacarpal Bones injuries
KW - Practice Guidelines as Topic
KW - Traumatology standards
KW - Humans
KW - Fracture Fixation instrumentation
KW - Fractures, Bone surgery
KW - Hand Injuries surgery
KW - Immobilization instrumentation
KW - Metacarpal Bones injuries
KW - Practice Guidelines as Topic
KW - Traumatology standards
M3 - SCORING: Zeitschriftenaufsatz
VL - 112
SP - 577
EP - 589
JO - UNFALLCHIRURGIE
JF - UNFALLCHIRURGIE
SN - 0177-5537
IS - 6
M1 - 6
ER -