Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Urbanschitz, L; Dreu, M; Wagner, J; Kaufmann, R; Jeserschek, JM; Borbas, P.
Cartilage and extensor tendon defects after headless compression screw fixation of phalangeal and metacarpal fractures.
J Hand Surg Eur Vol. 2020; 45(6):601-607
Doi: 10.1177/1753193420919060
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
- Dreu Manuel
- Wagner Julia
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Osteosynthesis of metacarpal and phalangeal fractures with headless compression screws leads to a defect in the articular surface and possibly damage to the extensor tendons. This study aimed to quantify the articular surface defect and extensor tendon injuries after implant placement in cadaveric hands. Defect size was assessed with computed tomography. Extensor tendon injuries were assessed by direct visualization and measurement after dissection. In the middle phalanx, the defect size in relation to the joint surface was significantly smaller after anterograde screw placement when compared with retrograde placement. Also, a mini-open approach was found to cause significantly less tendon injury than a percutaneous approach, but there was no difference in tendon damage between retrograde and antegrade screw insertion into the middle phalanx.
- Find related publications in this database (Keywords)
- Proximal phalanx
- metacarpal bone
- finger fracture
- intramedullary osteosynthesis
- articular surface defect
- headless compression screw