Maess M, Gräf C
I. Chirurgischen Klinik, Klinikum Berlin-Buch.
Zentralbl Chir. 1987;112(16):1029-38.
An account is given in this paper of 299 metacarpal and phalangeal fractures. Cases of that kind have a negative impact on the absence-for-illness record in national economy. Careful conservative therapy based on clear-cut concepts and unambiguous indications for surgery are considered necessary for the purpose of shortening absence periods. Conservative treatment still is applied to most of all phalangeal fractures (94 per cent); while less than 25 per cent of all metacarpal fractures are successfully handled by surgery.
本文报道了299例掌骨和指骨骨折病例。这类病例对国民经济中的病假记录有负面影响。为缩短缺勤时间，基于明确概念和明确手术指征的仔细保守治疗被认为是必要的。大多数指骨骨折（94%）仍采用保守治疗；而所有掌骨骨折中，通过手术成功治疗的不到25%。
