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Articolul urmator |
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Ultima descărcare din IBN: 2024-01-30 15:54 |
SM ISO690:2012 CÎRSTEA, Natalia, COJOCARI, Ştefan. Tratamentul chirurgical al fracturilor subcapitale ale oaselor metacarpiene. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 499. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Background. Metacarpal bone fractures (Mt) account for approximately 42% of osteoarticular system injuries. 88% of Mt fractures involve 2-3-4-5 rays, subcapital fractures of Mt (sMt) are determined in 15% of cases of total hand injuries. Objective of the study. Analysis of intermediate-term results (twoyear follow-up) of sMt according to data from medical records, classification, surgical treatment. Material and Methods. The patients with sMt, treated consecutively in the department of Hand Surgery and Microsurgery, within the Clinical Hospital of Traumatology and Orthopedics, Chisinau, during 2018-2019 were analyzed. The final results were determined using the DASH and MAYO score for hand skill. Results were presented as mean ± standard deviation (± SD). Results. Were determined 75 patients with sMt in which 50 (67%) patients were involved only 5th Mt. The mean age is 29.2 years (max 47, min 7 SD ± 2.45) The sex ratio was 12 : 1 (70: 5) with the predominance of the male gender. In fresh and less common fractures, sMt osteosynthesis was obtained with brooches in 56 (74.7%) cases. In the rest of the patients, the open reduction and internal fixation with brooches of sMt - 19 (25.3%) patients was applied. All fractures healed and the radiographic joint was observed for an average of 1.5-3 months. It was possible to investigate MAYO and DASH scores in 15 patients with a mean of 90 ± 5 and 10 ± 3. Conclusion. The result of osteosynthesis of sMt fractures leads to consolidation and a good result can be obtained with the perfect reduction of the fracture of sMt fragments and it is desired as soon as possible for an acceptable result of DASH and MAYO scores. |
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Cuvinte-cheie metacarpal bones, anatomical reduction, osteosynthesis, oasele metacarpiene, reducere anatomică, osteosinteza |
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