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Operative Treatment of Common Displaced and Unstable Fractures of the Hand by Alan E. Freeland, William B. Geissler, and Arnold-Peter C. Weiss J Bone Joint.

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Presentation on theme: "Operative Treatment of Common Displaced and Unstable Fractures of the Hand by Alan E. Freeland, William B. Geissler, and Arnold-Peter C. Weiss J Bone Joint."— Presentation transcript:

1 Operative Treatment of Common Displaced and Unstable Fractures of the Hand by Alan E. Freeland, William B. Geissler, and Arnold-Peter C. Weiss J Bone Joint Surg Am Volume 83(6):928-945 June 1, 2001 ©2001 by The Journal of Bone and Joint Surgery, Inc.

2 Dorsal approach to the proximal phalanx. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

3 Mid-axial approach to the proximal phalanx. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

4 Approaches to the metacarpals. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

5 A fifty-one-year-old right-handed patient who worked on an assembly line had weakness, cramping, and loss of endurance in the right hand. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

6 An adolescent boy who had severely displaced transverse fractures of the second and third metacarpals.A and B: Preoperativea nteroposterior and oblique radiographs. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

7 An adult patient who had a transverse fracture in the middle of the fifth metacarpal shaft that was irreducible by closed manipulation. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

8 A: A malrotated irreducible spiral oblique fracture of the third metacarpal. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

9 A: Preoperative radiograph showing a closed, unstable comminuted subcapital fracture of the second metacarpal. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

10 A: Preoperative radiograph showing open, displaced, highly unstable fractures of the third, fourth, and fifth metacarpals and a closed extra-articular fracture of the base of the proximal phalanx of the index finger (arrow). Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

11 A andB: Preoperative anteroposterior and lateral radiographs of a closed displaced transverse fracture of the shaft of the proximal phalanx of the right ring finger. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

12 A: Preoperative radiograph of a displaced uniplanar oblique fracture of the proximal phalanx of the thumb. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

13 A: Radiograph showing a slightly displaced unicondylar fracture of the proximal phalanx of the thumb. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

14 A: Preoperative radiograph of a displaced Bennett fracture. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

15 A: Oblique radiograph of a closed, displaced transverse subcondylar fracture of the proximal phalanx of the thumb and a closed Rolando fracture. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.

16 A: A comminuted subcapital fracture of the fifth metacarpal was inadequately stabilized with a circumferential malleable wire, resulting in a painful nonunion (arrowhead). Alan E. Freeland et al. J Bone Joint Surg Am 2001;83:928- 945 ©2001 by The Journal of Bone and Joint Surgery, Inc.


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