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Article: A prospective study on 284 digital fractures of the hand

TitleA prospective study on 284 digital fractures of the hand
Authors
Issue Date1989
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jhsa
Citation
Journal Of Hand Surgery, 1989, v. 14 n. 3, p. 474-481 How to Cite?
AbstractWe report a prospective study on 284 digital fractures of the hand in 235 patients. Management followed clear guidelines set out in a protocol. Important factors in the selection of the treatment method were, acceptable alignment, functional stability, and associated 'significant' soft tissue injuries. 'Functionally' stable fractures treated by free mobilization had satisfactory results. Unstable fractures treated by splints or Kirschner wire fixation produced unsatisfactory results. 'Open fracture', 'comminuted fracture', and 'associated significant soft tissue injuries' were identified as unfavorable prognostic factors. The anatomic site of the fractures was not important in determining the final outcome. About 15% of the displaced fractures became functionally stable after closed reduction and their results were comparable with the undisplaced fractures. About 30% of the patients had various degrees of difficulty after they returned to work. About 14% of the patients eventually changed their jobs because of their residual disability.
Persistent Identifierhttp://hdl.handle.net/10722/169976
ISSN
2015 Impact Factor: 1.64
2015 SCImago Journal Rankings: 1.270
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorPun, WKen_HK
dc.contributor.authorChow, SPen_HK
dc.contributor.authorSo, YCen_HK
dc.contributor.authorLuk, KDKen_HK
dc.contributor.authorIp, FKen_HK
dc.contributor.authorChan, KCen_HK
dc.contributor.authorNgai, WKen_HK
dc.contributor.authorCrosby, Cen_HK
dc.contributor.authorNg, Cen_HK
dc.date.accessioned2012-10-30T06:04:29Z-
dc.date.available2012-10-30T06:04:29Z-
dc.date.issued1989en_HK
dc.identifier.citationJournal Of Hand Surgery, 1989, v. 14 n. 3, p. 474-481en_HK
dc.identifier.issn0363-5023en_HK
dc.identifier.urihttp://hdl.handle.net/10722/169976-
dc.description.abstractWe report a prospective study on 284 digital fractures of the hand in 235 patients. Management followed clear guidelines set out in a protocol. Important factors in the selection of the treatment method were, acceptable alignment, functional stability, and associated 'significant' soft tissue injuries. 'Functionally' stable fractures treated by free mobilization had satisfactory results. Unstable fractures treated by splints or Kirschner wire fixation produced unsatisfactory results. 'Open fracture', 'comminuted fracture', and 'associated significant soft tissue injuries' were identified as unfavorable prognostic factors. The anatomic site of the fractures was not important in determining the final outcome. About 15% of the displaced fractures became functionally stable after closed reduction and their results were comparable with the undisplaced fractures. About 30% of the patients had various degrees of difficulty after they returned to work. About 14% of the patients eventually changed their jobs because of their residual disability.en_HK
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jhsaen_HK
dc.relation.ispartofJournal of Hand Surgeryen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshFemaleen_US
dc.subject.meshFinger Injuries - Surgery - Therapyen_US
dc.subject.meshFractures, Bone - Surgery - Therapyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshThumb - Injuries - Surgeryen_US
dc.titleA prospective study on 284 digital fractures of the handen_HK
dc.typeArticleen_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.emailLuk, KDK: hcm21000@hku.hken_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0363-5023(89)80006-1-
dc.identifier.pmid2738333-
dc.identifier.scopuseid_2-s2.0-0024368952en_HK
dc.identifier.volume14en_HK
dc.identifier.issue3en_HK
dc.identifier.spage474en_HK
dc.identifier.epage481en_HK
dc.identifier.isiWOS:A1989U571000006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridPun, WK=7003726073en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK
dc.identifier.scopusauthoridSo, YC=7006794052en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK
dc.identifier.scopusauthoridIp, FK=6603683344en_HK
dc.identifier.scopusauthoridChan, KC=34968940300en_HK
dc.identifier.scopusauthoridNgai, WK=6602875630en_HK
dc.identifier.scopusauthoridCrosby, C=7004098004en_HK
dc.identifier.scopusauthoridNg, C=36747469700en_HK

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