Effectiveness comparison between ultrasound-guided and C-arm-guided in closed reduction and pinning for treatment of metacarpophalangeal fractures_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANG Lei ¹ ,  WANG Xiaohui ² , LI Wuyin ²

1. Hunan University of Chinese Medicine, Changsha Hunan, 410000, P.R.China;
2. Department of Hand Micro Orthopedics, Luoyang Orthopedic Hospital of Henan Province (Orthopedic Hospital of Henan Province), Luoyang Henan, 471002, P.R.China;

Corresponding?author：

WANG Xiaohui, Email: 963099784@qq.com

Keywords：

Ultrasonography; metacarpophalangeal fracture; internal fixation

DOI：

10.7507/1002-1892.201705037

Video：

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Objective To compare the effectiveness between ultrasound-guided and C-arm-guided in closed reduction and pinning for the treatment of metacarpophalangeal fractures. Methods The clinical data of 30 patients with metacarpophalangeal fractures between October 2015 and November 2016 were retrospectively analyzed. According to different treatments, the patients were divided into ultrasound group (using ultrasound-guided closed reduction and pinning, n=15) and C-arm group (using C-arm-guided closed reduction and pinning, n=15). There was no significant difference in gender, age, disease duration, causes of injury, injured finger, location of injury finger, fracture classification between 2 groups (P>0.05). The status and success rate of reduction were compared (excellent, good, and acceptable grades could be regarded as the successful reduction). The operation time, intraoperative fluoroscopy times, and fracture healing time were recorded. And the postoperative functional recovery was evaluated according to the total active movement (TAM) by the standard functional evaluation issued by Hand Surgery Association of Chinese Medical Association. Results The operation time of ultrasound group was longer than C-arm group, and the intraoperative fluoroscopy times was less than C-arm group, all showing significant differences (P<0.05). There was no signifi cant difference in the grade and the success rate of reduction between 2 groups (P>0.05). All the patients were followed up 6-18 months (mean, 10 months), without malunion, joint stiffness, tendon adhesions, and other complications. There was also no significant difference in the fracture healing time, the grade of TAM, and the excellent and good rate of TAM between 2 groups (P>0.05). Conclusion The treatment of ultrasound-guided closed reduction and pinning for metacarpophalangeal fractures is effective, which is a feasible auxiliary method of closed reduction and fixation for fracture. And less fluoroscopy can reduce the radiation damage of operation.

Citation： WANG Lei, WANG Xiaohui, LI Wuyin. Effectiveness comparison between ultrasound-guided and C-arm-guided in closed reduction and pinning for treatment of metacarpophalangeal fractures. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(10): 1179-1183. doi: 10.7507/1002-1892.201705037 Copy

1.	夏曉明. 克氏針與微型鋼板置入內固定修復掌指骨骨折: 手部功能及不良反應隨訪. 中國組織工程研究, 2015, 19(17): 2741-2744.0.
2.	王亦璁, 姜保國. 骨與關節損傷. 5 版. 北京: 人民衛生出版社, 2014: 918.
3.	黃俊伍, 陳云豐, 羅軼, 等. 閉合復位順行雙彈性釘固定治療掌骨骨折療效分析. 中華手外科雜志, 2013, 29(5): 263-266.0.
4.	潘達德, 顧玉東, 侍德, 等. 中華醫學會手外科學會上肢部分功能評定試用標準. 中華手外科雜志, 2000, 16(3): 130-135.0.
5.	于德江, 江朝光, 李眾利, 等. 超聲在汶川地震骨折診斷中的應用. 中華醫學超聲雜志(電子版), 2008, 5(5): 782-788.0.
6.	Neri E, Barbi E, Rabach I, et al. Diagnostic accuracy of ultrasonography for hand bony fractures in paediatric patients. Arch Dis Child, 2014, 99(12): 1087-1090.
7.	Mahaisavariya B, Songcharoen P, Riansuwan K. Technique of closed unlocked femoral nailing using ultrasound guidance. Injury, 2006, 37(10): 1000-1003.
8.	孫金占, 劉赟, 李勇, 等. 超聲在四肢骨折閉合復位髓內釘內固定術中的臨床應用. 中國骨與關節損傷雜志, 2012, 27(9): 858-859.0.
9.	Dubrovsky AS, Kempinska A, Bank I, et al. Accuracy of ultrasonography for determining successful realignment of pediatric forearm fractures. Ann Emerg Med, 2015, 65(3): 260-265.
10.	Rabiner JE, Khine H, Avner JR, et al. Accuracy of point-of-Care ultrasonography for diagnosis of elbow fractures in Children. Ann Emerg Med, 2013, 61(1): 9-17.
11.	Weinberg ER, Tunik MG, Tsung JW. Accuracy of clinician-performed point-of-care ultrasound for the diagnosis of fractures in children and young adults. Injury, 2010, 41(8): 862-868.
12.	Herren C, Sobottke R, Ringe MJ, et al. Ultrasound-guided diagnosis of fractures of the distal forearm in children. Orthop Traumatol Surg Res, 2015, 101(4): 501-505.
13.	Kodama N, Takemura Y, Ueba H, et al. Ultrasound-assisted closed reduction of distal radius fractures. J Hand Surg (Am), 2014, 39(7): 1287-1294.
14.	蘭俊, 周明平, 周崇斌, 等. 超聲對股骨干骨折移位和復位及閉合復位髓內釘固定術的指導意義. 中華超聲影像學雜志, 2016, 25(7): 616-619.0.
15.	Wellsh BM, Kuzma JM. Ultrasound-guided pediatric forearm fracture reductions in aresourcelimited ED. Am J Emerg Med, 2016, 34(1): 40-44.
16.	趙麗, 趙勝軍, 金寶城, 等. 高頻超聲在兒童不穩定尺橈骨骨折靶向引導彈性髓內釘內固定中的應用. 大連醫科大學學報, 2016, 38(4): 352-355.0.
17.	陸建華, 施曉健, 黃莉, 等. 高頻超聲引導 Colles 骨折手法復位的價值. 南通大學學報(醫學版), 2010, 30(3): 164-166.0.
18.	王孝輝, 沈素紅, 李德, 等. 超聲引導下閉合復位穿針固定治療成人指骨骨折. 中華超聲影像學雜志, 2016, 25(9): 804-807.0.

1. 夏曉明. 克氏針與微型鋼板置入內固定修復掌指骨骨折: 手部功能及不良反應隨訪. 中國組織工程研究, 2015, 19(17): 2741-2744.0.
2. 王亦璁, 姜保國. 骨與關節損傷. 5 版. 北京: 人民衛生出版社, 2014: 918.
3. 黃俊伍, 陳云豐, 羅軼, 等. 閉合復位順行雙彈性釘固定治療掌骨骨折療效分析. 中華手外科雜志, 2013, 29(5): 263-266.0.
4. 潘達德, 顧玉東, 侍德, 等. 中華醫學會手外科學會上肢部分功能評定試用標準. 中華手外科雜志, 2000, 16(3): 130-135.0.
5. 于德江, 江朝光, 李眾利, 等. 超聲在汶川地震骨折診斷中的應用. 中華醫學超聲雜志(電子版), 2008, 5(5): 782-788.0.
6. Neri E, Barbi E, Rabach I, et al. Diagnostic accuracy of ultrasonography for hand bony fractures in paediatric patients. Arch Dis Child, 2014, 99(12): 1087-1090.
7. Mahaisavariya B, Songcharoen P, Riansuwan K. Technique of closed unlocked femoral nailing using ultrasound guidance. Injury, 2006, 37(10): 1000-1003.
8. 孫金占, 劉赟, 李勇, 等. 超聲在四肢骨折閉合復位髓內釘內固定術中的臨床應用. 中國骨與關節損傷雜志, 2012, 27(9): 858-859.0.
9. Dubrovsky AS, Kempinska A, Bank I, et al. Accuracy of ultrasonography for determining successful realignment of pediatric forearm fractures. Ann Emerg Med, 2015, 65(3): 260-265.
10. Rabiner JE, Khine H, Avner JR, et al. Accuracy of point-of-Care ultrasonography for diagnosis of elbow fractures in Children. Ann Emerg Med, 2013, 61(1): 9-17.
11. Weinberg ER, Tunik MG, Tsung JW. Accuracy of clinician-performed point-of-care ultrasound for the diagnosis of fractures in children and young adults. Injury, 2010, 41(8): 862-868.
12. Herren C, Sobottke R, Ringe MJ, et al. Ultrasound-guided diagnosis of fractures of the distal forearm in children. Orthop Traumatol Surg Res, 2015, 101(4): 501-505.
13. Kodama N, Takemura Y, Ueba H, et al. Ultrasound-assisted closed reduction of distal radius fractures. J Hand Surg (Am), 2014, 39(7): 1287-1294.
14. 蘭俊, 周明平, 周崇斌, 等. 超聲對股骨干骨折移位和復位及閉合復位髓內釘固定術的指導意義. 中華超聲影像學雜志, 2016, 25(7): 616-619.0.
15. Wellsh BM, Kuzma JM. Ultrasound-guided pediatric forearm fracture reductions in aresourcelimited ED. Am J Emerg Med, 2016, 34(1): 40-44.
16. 趙麗, 趙勝軍, 金寶城, 等. 高頻超聲在兒童不穩定尺橈骨骨折靶向引導彈性髓內釘內固定中的應用. 大連醫科大學學報, 2016, 38(4): 352-355.0.
17. 陸建華, 施曉健, 黃莉, 等. 高頻超聲引導 Colles 骨折手法復位的價值. 南通大學學報(醫學版), 2010, 30(3): 164-166.0.
18. 王孝輝, 沈素紅, 李德, 等. 超聲引導下閉合復位穿針固定治療成人指骨骨折. 中華超聲影像學雜志, 2016, 25(9): 804-807.0.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness comparison between ultrasound-guided and C-arm-guided in closed reduction and pinning for treatment of metacarpophalangeal fractures

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