Epidemiology and treatment of phalangeal fractures: conservative treatment is the predominant therapeutic concept
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| Názov: | Epidemiology and treatment of phalangeal fractures: conservative treatment is the predominant therapeutic concept |
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| Autori: | Laura Kremer, Johannes Frank, Thomas Lustenberger, Ingo Marzi, Anna Lena Sander |
| Zdroj: | Eur J Trauma Emerg Surg |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2020. |
| Rok vydania: | 2020 |
| Predmety: | Adult, Aged, 80 and over, Male, 2. Zero hunger, ddc:610, Adolescent, Adolescent [MeSH], Female [MeSH], Aged, 80 and over [MeSH], Aged [MeSH], Fractures, Bone/epidemiology [MeSH], Classification, Adult [MeSH], Humans [MeSH], Phalangeal fractures, Fracture type, Retrospective Studies [MeSH], Middle Aged [MeSH], Finger Phalanges/diagnostic imaging [MeSH], Epidemiology, Original Article, Fracture Fixation, Internal [MeSH], Male [MeSH], Young Adult [MeSH], Treatment, Fractures, Bone/therapy [MeSH], Conservative Treatment [MeSH], Fractures, Bone/diagnostic imaging [MeSH], Middle Aged, Conservative Treatment, 3. Good health, Finger Phalanges, Fracture Fixation, Internal, Fractures, Bone, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Humans, Female, Aged, Retrospective Studies |
| Popis: | Purpose Despite the high number of patients with phalangeal fractures, evidence-based recommendations for the treatment of specific phalangeal fractures could not be concluded from the literature. The purpose of the present study was to assess current epidemiological data, classification of the fracture type, and mode of treatment. Methods This study presents a retrospective review of 261 patients with 283 phalangeal fractures ≥ 18 years of age who were treated in our level I trauma centre between 2017 and 2018. The data were obtained by the analysis of the institution’s database, and radiological examinations. Results The average age of the patients was 40.4 years (range 18–98). The ratio of male to female patients was 2.7:1. The two most typical injury mechanisms were crush injuries (33%) and falls (23%). Most phalangeal fractures occurred in the distal phalanx (P3 43%). The 4th ray (D4 29%) was most frequently affected. The P3 tuft fractures, and the middle phalanx (P2) base fractures each accounted for 25% of fracture types. A total of 74% of fractures were treated conservatively, and 26% required surgery, with Kirschner wire(s) (37%) as the preferred surgical treatment. The decision for surgical treatment correlated with the degree of angular and/or rotational deformity, intraarticular step, and sub-/luxation of specific phalangeal fractures, but not with age and gender. Conclusions Our findings demonstrated the popularity of conservative treatment of phalangeal fractures, while surgery was only required in properly selected cases. The correct definition of precise fracture pattern in addition to topography is essential to facilitate treatment decision-making. |
| Druh dokumentu: | Article Other literature type |
| Popis súboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 1863-9941 1863-9933 |
| DOI: | 10.1007/s00068-020-01397-y |
| Prístupová URL adresa: | https://link.springer.com/content/pdf/10.1007/s00068-020-01397-y.pdf https://pubmed.ncbi.nlm.nih.gov/32451567 https://link.springer.com/article/10.1007/s00068-020-01397-y https://link.springer.com/content/pdf/10.1007/s00068-020-01397-y.pdf https://www.ncbi.nlm.nih.gov/pubmed/32451567 https://pubmed.ncbi.nlm.nih.gov/32451567/ https://repository.publisso.de/resource/frl:6443140 http://publikationen.ub.uni-frankfurt.de/files/63792/Kremer2022_Article_EpidemiologyAndTreatmentOfPhal.pdf |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . |
| Prístupové číslo: | edsair.doi.dedup.....cba2f85a84d22e647858f7d5a8e0213e |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Purpose Despite the high number of patients with phalangeal fractures, evidence-based recommendations for the treatment of specific phalangeal fractures could not be concluded from the literature. The purpose of the present study was to assess current epidemiological data, classification of the fracture type, and mode of treatment. Methods This study presents a retrospective review of 261 patients with 283 phalangeal fractures ≥ 18 years of age who were treated in our level I trauma centre between 2017 and 2018. The data were obtained by the analysis of the institution’s database, and radiological examinations. Results The average age of the patients was 40.4 years (range 18–98). The ratio of male to female patients was 2.7:1. The two most typical injury mechanisms were crush injuries (33%) and falls (23%). Most phalangeal fractures occurred in the distal phalanx (P3 43%). The 4th ray (D4 29%) was most frequently affected. The P3 tuft fractures, and the middle phalanx (P2) base fractures each accounted for 25% of fracture types. A total of 74% of fractures were treated conservatively, and 26% required surgery, with Kirschner wire(s) (37%) as the preferred surgical treatment. The decision for surgical treatment correlated with the degree of angular and/or rotational deformity, intraarticular step, and sub-/luxation of specific phalangeal fractures, but not with age and gender. Conclusions Our findings demonstrated the popularity of conservative treatment of phalangeal fractures, while surgery was only required in properly selected cases. The correct definition of precise fracture pattern in addition to topography is essential to facilitate treatment decision-making. |
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| ISSN: | 18639941 18639933 |
| DOI: | 10.1007/s00068-020-01397-y |