The Journal of Bone and Joint Surgery (American) 83:928-945 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.
Instructional Course Lecture |
Operative Treatment of Common Displaced and Unstable Fractures of the Hand
Alan E. Freeland, MD,
William B. Geissler, MD and
Arnold-Peter C. Weiss, MD
An Instructional Course Lecture, American Academy of Orthopaedic
Surgeons
Alan E. Freeland, MD
William B. Geissler, MD
Department of Orthopaedic Surgery and Rehabilitation, University
of Mississippi Medical Center, 2500 North State Street, Jackson,
MS 39216. E-mail addresYCs for A.E. Freeland: afreeland@orthopedics.umsmed.edu
E-mail address for W.B. Geissler: wgeissler@orthopedics.umsmed.edu
Arnold-Peter C. Weiss, MD
University Orthopedics, 2 Dudley Street, #200, Providence,
RI 02905-3211. E-mail address: arnold-peter_weiss@brown.edu
Printed with permission of the American Academy of Orthopaedic
Surgeons. This article, as well as other lectures presented at the
Academy’s Annual Meeting, will be available in March 2002
in Instructional Course Lectures, Volume 51. The
complete volume can be ordered online at www.aaos.org, or by calling
800-626-6726 (8 a.m.-5 p.m., Central time).
In support of their research or preparation of this manuscript, one
or more of the authors received grants or outside funding (AO Research
Grant 1993). In addition, one or more of the authors received payments
or other benefits or a commitment or agreement to provide such benefits
from a commercial entity (AO/ASIF, Harcourt Medical Publishing,
and Acumed). Also, commercial entities (AO/ASIF and Harcourt
Medical Publishing) paid or directed, or agreed to pay or direct,
benefits to a research fund, foundation, educational institution,
or other charitable or nonprofit organization with which one or
more of the authors are affiliated or associated.
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Introduction
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The hand is an instrument of performance and protection. Whether
at war, work, competition, or recreation, an individual’s
reflexes routinely place the hand in harm’s way to protect
the head and body. Accidents inevitably occur, resulting in fractures of
the metacarpals and phalanges and other injuries. This Instructional
Course Lecture addresses, in particular, the craft of reduction
and stabilization of displaced, irreducible, and unstable fractures
of the hand as an integral part of reestablishing skeletal integrity
and refined digital function. The goals of treatment include returning
manual laborers to their work or to the practice of their special
skills, professionals to their tasks, students to their classrooms,
writers to their pens, musicians to their instruments, artists to
their brushes and easels, athletes to their contests, parents to
their families, children to life’s enjoyments, and increasing
numbers of the world’s population to a variety of digital
keyboards and computers.
Fracture management . . . [Full Text of this Article]
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