Manejo quirúrgico de las fracturas de las falanges y los metatarsianosuna revisión actualizada

  1. González Sayago, Alberto
  2. Cancelo Barea, Ramón
  3. Hernández Cortés, Pedro
Journal:
Revista de la Sociedad Andaluza de Traumatología y Ortopedia

ISSN: 1578-9756

Year of publication: 2020

Volume: 37

Issue: 1

Pages: 8-18

Type: Article

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More publications in: Revista de la Sociedad Andaluza de Traumatología y Ortopedia

Abstract

Fractures of phalanges and metacarpals are the most frequent. The surgical possibilities are very different, as there are a plenty of types of fractures. It is difficult to compare different types of fractures with each other, what makes the analysis of the best surgical treatment complex. Objectives. To perform an updated review of the different surgical procedures for the treatment of phalangeal and metacarpal fractures in the hand to elucidate the best treatment for each type of fracture. Methods. A non-systematic search has been carried out in PubMed, Scopus and Embase to locate articles on the surgical management of phalangeal and metacarpal fractures, studying all areas and types of fractures, as well as their surgical possibilities. Results. From a total of 56 articles published in the last 10 years, 30 articles were selected, after applying the selection and exclusion criteria. Most of the were bibliographic reviews. The rest were retrospective and prospective studies, case series and 2 randomized controlled clinical trials. Conclusions. The surgical possibilities for each area and type of fracture in phalanges and metacarpals are very variable, but there is currently insufficient evidence to establish the best treatment for each fracture. High quality clinical trials are needed.

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