Souer J S, Mudgal C S
Massachusetts General Hospital, Orthopaedic Hand and Upper Extremity Service, Boston, MA 02114, USA.
J Hand Surg Eur Vol. 2008 Dec;33(6):740-4. doi: 10.1177/1753193408090101. Epub 2008 Aug 11.
Closed multiple metacarpal fractures are uncommon. They are usually associated with significant soft tissue swelling. Early stable fixation and functional rehabilitation optimises outcome. We present a review of 19 patients with 43 metacarpal fractures treated by early open reduction and internal fixation with 2 mm plates. Eighteen patients recovered a full range of motion, while one patient was lost to follow-up. Implant removal on account of extensor irritation was required in only two metacarpals in two patients. Plating of multiple closed metacarpal fractures is a safe, reliable and consistently reproducible treatment method.
闭合性多发掌骨骨折并不常见。它们通常伴有明显的软组织肿胀。早期稳定固定和功能康复可优化治疗效果。我们回顾了19例患者的43处掌骨骨折，这些骨折采用2毫米钢板进行早期切开复位内固定治疗。18例患者恢复了全范围活动，1例患者失访。仅2例患者的2处掌骨因伸肌刺激需要取出植入物。对多发闭合性掌骨骨折进行钢板固定是一种安全、可靠且可重复的治疗方法。
