The arthroscopically-assisted percutaneous screw fixation for treating Bennett fractures
HUANG Xiao-nan
LI Mei-lian
FAN Meng
SHEN Ming-jie
HAO Lei
Abstract：Objective To summarize the clinical,radiographic outcomes and complications of arthroscopi-cally-assisted minimally invasive percutaneous screw fixation in treating Bennett fractures .Methods Fifty-one pa-tients (51 hands) with Bennett fractures were treated by arthroscopically-assisted minimally invasive percutaneous screw fixation between May 2009 and May 2015.There were 40 males and 11 females,with a mean age of (38.7 ± 12.4) years and a mean body mass index of (23.7 ±8.1)kg/m2.The data was recorded,including the incidence of complications,fracture union time,Kapandji Score for clinical function,grip and pinch strength,joint surface re-duction,and displacement of fixation material .Results All of 51 patients were followed up ,and the mean follow-up time was(33.8 ±9.9) months.The mean fracture union time was (5.9 ±1.8) weeks.The mean Kapandji Score was (9.8 ±0.2)points;and the mean grip and pinch strength was (46.7 ±4.2)kg and (8.7 ±2.4)kg,respective-ly.All patients recovered pre-traumatic work activities.One patient(2.0%) experienced a complex local pain syn-drome during follow-up,but did not affect daily work .Immediate postoperative X-ray images showed that all patients achieved anatomic reduction of joint surfaces .All fractures obtained bone union ,and no patient had joint degenera-tion or displacement of screw . Conclusion The arthroscopically-assisted minimally invasive percutaneous screw fixation for Bennett fractures can achieve anatomic reduction of joint surfaces , satisfactory clinical and radiological outcomes,and a low rate of complication.
Keywords：Bennett fracturearthroscopyreductionfixation
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 857-859 )