gms | German Medical Science

Objectives/Interrogation: The metacarpal fractures are common, and to many of this fractures are treated whitout surgical, but some of the are unstable, the need fixation.

There are different types of fixation, like wires, plates, but in fractures near to the articular surface when the metaphisis is fracture and has conminuted, we prefer use codilar plates, because this give angular stability to the fracture. This research wants to review the use of the codilar plates in this type of fractures.

Methods: We review 80 fractures in all we used the condilar plates, all patients was examined by a different surgeon no the same who performed the surgery. All the condilar plates was from the same company (Mondeal).

We used the same instruments to measure the results, we use a goniometer and dynamometer.

Results and Conclusions: The results was find union at 6 weeks (4 - 9 weeks), range of movement was flexion 80 degrees (62 - 95), grip strength 12 mmHg (8 - 17) pain 3 (2- 5), return to work at 20 days (15 - 52). All patient was check at 2 week, 6 week and 6 months post surgical. Our results are compared with other methods of fixation, but we think the condilar plates has advantage because gives angular stability to the fracture.