[Osteosynthesis of metacarpal XXXX with 2.0  mm @entity2850 system and functional postoperative treatment].

@entity3604 @entity1 @entity174 @entity2850 @entity1518
BACKGROUND: Locking head systems are an additional option in the surgical treatment of metacarpal @entity174 . In this clinic 2.0  mm @entity2850 ( @entity2850 ) are used, which provide the possibility of functional postoperative treatment even for complex and @entity3604 . For simple @entity174 and good bone quality the @entity2850 system is used as a compression or neutralization plate. Depending on the type and localization of the @entity174 , different osteosynthesis techniques are used in order to achieve a functional postoperative treatment in as many @entity1 as possible. MATERIAL AND METHODS: Between July 2009 and December 2010 a total of 49 @entity1 were enrolled in a prospective trial. All @entity1 underwent surgical treatment with a 2.0  mm @entity2850 system. Postoperative functionality of the hand was restored without immobilization. Clinical and radiological examinations were performed after 6 and 12 weeks and after 6 and 12 months with documentation of the range of motion (ROM), grip strength, fingertip to palm distance and the disabilities of the arm, shoulder and hand (DASH) score. RESULTS: After 6 months a good functional result was achieved in all @entity1 with no cases of @entity1518 . Radiographs showed a completely consolidated bone healing. CONCLUSION: After osteosynthesis with 2.0  mm LCPs all types of metacarpal @entity174 can be treated without immobilization.
