The Effect of Steroid and Mannitol Combination Treatment on Postoperative Rehabilitation of Multiple Metacarpal Bone Fractures
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Selection
2.2. Operative Procedure and Study Design
2.3. Rehabilitation Protocol
2.4. Outcome Measures
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Control Group (n = 11) | Treatment Group (n = 10) | p-Value | |
---|---|---|---|
Age (year) * | 32.27 ± 14.21 | 35.20 ± 11.89 | |
Sex (male to female) | 9:2 | 9:1 | 0.722 |
Etiology | 1.000 | ||
Violence | 5 | 4 | 0.741 |
Working | 2 | 3 | |
Slip down | 2 | 2 | |
Traffic accident | 1 | 1 | |
Sports injury | 1 | 0 | |
Time to surgery (hour) * | 7.73 ± 2.41 | 6.50 ± 2.32 | |
Multiplicity of fractures | 0.250 | ||
Double | 9 | 9 | 1.000 |
Triple | 2 | 1 | |
Quadruple | 0 | 0 | |
Location of fracture(ray) † | 0.575 | ||
2nd | 5 | 4 | |
3rd | 5 | 3 | |
4th | 8 | 7 | |
5th | 6 | 7 | |
Anatomic location of fracture † | 0.585 | ||
Head | 2 | 3 | |
Neck | 12 | 11 | |
Shaft | 8 | 5 | |
Base | 2 | 2 | |
Anesthesia | 2 | 0.659 | |
General endotracheal anesthesia | 8 | 6 | |
Wide awake surgery | 3 | 4 |
Stage | Goal | Protocol * |
---|---|---|
Stage I | Fingertips to thumb tip by active flexion | -Maintain 10 s of flexion -10 times per cycle -4 cycles per day |
Stage II | Fingertips to thumb interphalangeal joint crease by active flexion | |
Stage III | Fingertips to thumb metacarpophalangeal joint crease by active flexion | |
Stage IV | Fingertips to distal palmar crease by active flexion |
Control Group (n = 11) | Treatment Group (n = 10) | p-Value | |
---|---|---|---|
Rehabilitation initiation (days) | 6.73 ± 2.15 | 3.80 ± 1.55 | 0.002 * |
Full active grip (days) | 42.46 ± 6.74 | 32.70 ± 5.70 | 0.002 * |
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Choi, J.; Seo, H.J.; Shin, J.; Byun, J.-H.; Jung, S.N. The Effect of Steroid and Mannitol Combination Treatment on Postoperative Rehabilitation of Multiple Metacarpal Bone Fractures. Medicina 2023, 59, 783. https://doi.org/10.3390/medicina59040783
Choi J, Seo HJ, Shin J, Byun J-H, Jung SN. The Effect of Steroid and Mannitol Combination Treatment on Postoperative Rehabilitation of Multiple Metacarpal Bone Fractures. Medicina. 2023; 59(4):783. https://doi.org/10.3390/medicina59040783
Chicago/Turabian StyleChoi, Jangyoun, Hye Jin Seo, Jongweon Shin, Jun-Hee Byun, and Sung No Jung. 2023. "The Effect of Steroid and Mannitol Combination Treatment on Postoperative Rehabilitation of Multiple Metacarpal Bone Fractures" Medicina 59, no. 4: 783. https://doi.org/10.3390/medicina59040783