Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 8, Issue 4 (12-2019)
J Emerg Health Care 2019, 8(4): 85-90 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Shayesteh Azar M, Kariminasab M H, Ghaffari S, Mahmoudi M, Kazemi A, Shayesteh Azar S. Management of Rolando and Bennett Fractures Treatment with Pin and Plaster (A New Technique). J Emerg Health Care 2019; 8 (4) :85-90
URL: http://intjmi.com/article-1-444-en.html
URL: http://intjmi.com/article-1-444-en.html
Masoud Shayesteh Azar 
, Mohammad Hossein Kariminasab * , Salman Ghaffari , Mani Mahmoudi , Abolfazl Kazemi , Shadi Shayesteh Azar
, Mohammad Hossein Kariminasab * , Salman Ghaffari , Mani Mahmoudi , Abolfazl Kazemi , Shadi Shayesteh Azar
Associated Professor of orthopedic surgery, Orthopedic Research center, Mazandaran university of medical science, Sari, Iran .
Abstract: (5080 Views)
Intra-articular fractures of Thumb are the most common fractures occurred in children and elderly; divided into Bennett & Rolando fractures. The purpose of this article is to introduce new approach for these fractures. In this approach, after pre-surgery techniques; a 1.5-2 mm pin is placed in the proximal distal phalanx. Next, the best reduction is achieved by imposing pulling through the pin and rotating motion under C-Arm. Short forearm cast is then used after that cast changing to thumb Spica cast and the pin is incorporated in the cast, the position of thumb during casting in abduction and pronation depends on the reduction under C-Arm. After the operation, the reduction is controlled by radiography. Within 4-6 weeks, the cast is removed, the pin is taken out, and active and passive joint movements begin. In this study, we introduce our technique used in the management of 4 cases. The results were found to be promising, with an excellent range of motion. In spite of controversial choice of treatments, we recommend this method as a cost-benefited, acceptable and applicable method for patients and physicians.
References
1. 1. Carlsen BT, Moran SL. Thumb trauma: Bennett fractures, Rolando fractures, and ulnar collateral ligament injuries. J Hand Surg Am. 2009;34(5):945-52.
2. Liverneaux P, Ichihara S, Hendriks S, Facca S, Bodin F. Fractures and dislocation of the base of the thumb metacarpal. Journal of Hand Surgery (European Volume). 2015;40(1):42-50.
3. Soyer AD. Fractures of the base of the first metacarpal: current treatment options. The Journal of the American Academy of Orthopaedic Surgeons. 1999;7(6):403-12.
4. Vichard P, Tropet Y, Nicolet F. Longitudinal pinning of fractures of the base of the first metacarpal. Annales de chirurgie de la main: organe officiel des societes de chirurgie de la main. 1981;1(4):301-6.
5. Griffiths J. Fractures at the base of the first metacarpal bone. Bone & Joint Journal. 1964;46(4):712-9.
6. Bruske J, Bednarski M, Niedziedz Z, Oyluk A, Grzeszewski S. The results of operative treatment of fractures of the thumb metacarpal base. Acta orthopaedica belgica. 2001;67(4):368-73.
7. Brownlie C, Anderson D. Bennett fracture dislocation - review and management. Australian family physician. 2011;40(6):394-6.
8. Gedda K-O. Studies on Bennett's fracture. Acta Chir Scand. 1954:5-114.
9. Diaz-Garcia R, Waljee JF. Current management of metacarpal fractures. Hand clinics. 2013;29(4):507-18.
10. Buchler U, McCollam SM, Oppikofer C. Comminuted fractures of the basilar joint of the thumb: combined treatment by external fixation, limited internal fixation, and bone grafting. The Journal of hand surgery. 1991;16(3):556-60.
11. Proubasta I. Rolando's fracture of the first metacarpal. Treatment by external fixation. Bone & Joint Journal. 1992;74(3):416-7.
12. Surzur P, Rigault M, Charissoux J, Mabit C, Arnaud J. Recent fractures of the base of the 1st metacarpal bone. A study of a series of 138 cases. Annales de chirurgie de la main et du membre superieur: organe officiel des societes de chirurgie de la main= Annals of hand and upper limb surgery. 1993;13(2):122-34.
13. Gelberman RH, Vance RM, Zakaib GS. Fractures at the base of the thumb: treatment with oblique traction. J Bone Joint Surg Am. 1979;61(2):260-2.
14. Leibovic SJ. Treatment of Bennett's and Roland0's Fractures. Techniques in hand & upper extremity surgery. 1998;2(1):36-46.
15. Carlsen BT, Moran SL. Thumb trauma: Bennett fractures, Rolando fractures, and ulnar collateral ligament injuries. The Journal of hand surgery. 2009;34(5):945-52.
16. Niempoog S, Waitayawinyu T. Comminuted Rolando's fractures: treatment with modified wrist external fixator and transmetacarpal pinning. JOURNAL-MEDICAL ASSOCIATION OF THAILAND. 2007;90(1):182.
17. Thurston A, Dempsey S. BENNETT'S FRACTURE: A MEDIUM TO LONG‐TERM REVIEW. Australian and New Zealand Journal of Surgery. 1993;63(2):120-3.
18. Bienfait JC, Chantraine A. [Continued traction and rehabilitation in Bennett fractures (author's transl]. J Belge Rhumatol Med Phys. 1973;28(3):109-17.
19. Foster RJ, Hastings H, 2nd. Treatment of Bennett, Rolando, and vertical intraarticular trapezial fractures. Clin Orthop Relat Res. 1987(214):121-9.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |