Engelsk titel: Treatment of carpal fractures
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Författare:
Valen B
Email: birger.valen@helse-fonna.no
Språk: Nor
Antal referenser: 17
Dokumenttyp:
Artikel
UI-nummer: 09021990
Sammanfattning
Background. The objective of this study was to identify the incidence of carpal fractures and the treatment of patients with this fracture at the Orthopaedic Section, Haugesund Hospital, Norway.
Material and method. A total of 320 patients with 331 carpal fractures that had been treated at the section were included in the study. The data were collected through an examination of medical records.
Results. Scaphoid fractures were found in 277 patients, and the final outcome was healing in 96 % of these cases. Appropriate and speedy treatment of 243 scaphoid fractures by means of cast immobilisation or a primary operation resulted in healing in 89 % of the cases. After surgery for non-healing cases, the healing outcome was 99 %. Thirty-four patients received inadequate or delayed primary treatment, and the result after plaster casts, operations for non-healing and one reoperation in this group was healing in only 75 % of the cases. Inappropriate or delayed primary treatment led to a significant increase in the frequency of failure to heal and surgery. All 54 non-scaphoid fractures healed satisfactorily, and only one was operated on. Twenty-seven patients had a fracture of the triquetrum. There were seldom fractures in the six other carpal bones.
Interpretation. The result of plaster casts and primary operations was satisfactory. In general our results agree with those of other reports in relevant literature.