Etiological Factors in Delayed Union and Non-Union of Distal Phalangeal Fractures in the Hand

Accession number;03A0705612
Title;Etiological Factors in Delayed Union and Non-Union of Distal Phalangeal Fractures in the Hand
Author; HATANAKA WATARU (Hokkaidotsutomuikyo Tomakomaibyoin Seikeigeka) SHIBATA SADAMU (Hokkaidotsutomuikyo Tomakomaibyoin Seikeigeka) OCHI HIROKO (Hokkaidotsutomuikyo Tomakomaibyoin Seikeigeka) TAKAHATA NAOSHI (Hokkaidotsutomuikyo Tomakomaibyoin Seikeigeka)
Journal Title;Hokkaido Journal of Orthopedic and Traumatology
Journal Code:Y0504A
ISSN:1343-3873
VOL.45;NO.1;PAGE.21-25(2003)
Figure&Table&Reference;FIG.2, TBL.7, REF.8
Pub. Country;Japan
Language;Japanese
Abstract;Etiological factors in delayed union and non-union of distal phalanx fractures in the hands were studied in 14 digits among 13 patients. These 13 patients were selected from 52 patients who had been treated at this Department from 1991 to 2001. Incidence of delayed union and non-union was found to be higher among patients with tuft fractures than among patients with other types of fractures. Causes of delayed union and non-union of these cases were classified into three factors; 4 digits were classified as an unsuccessful reduction, 10 digits were classified as an unstable fixation and 3 digits were classified as resorption of bone fragment. In conclusion, a successful reduction and fixation in primary therapy of fracture is important for prevention of delayed union and non-union. (author abst.)