Treatment of Malunited Fracture of the First Metacarpal Base with a Comorbidity of Diabetes by Medical Therapy and Miniplate Fixation: A Case Report

Authors

  • Ran-Hui Kang Pyongyang University of Medicine
  • Mun-Sik Ko Pyongyang University of Medicine
  • Jang-Mi Kim Pyongyang University of Medicine

Keywords:

thumb, metacarpal, diabetes, fracture, miniplate

Abstract

Even though every malunited hand fracture requires no intervention, malunion deformities including rotational malalignment and angulation can cause weakness of grasp and pinch. In addition, diabetes mellitus, a general factor of an infection, is an important illness which should be taken into account before undertaking reconstruction. Therefore, malunited fracture of the first metacarpal concomitant with diabetes may pose as a challenging problem, which includes various considerations such as indications, fixation technique and timing of surgery. Of the five fingers, thumb stability is essential for most hand functions. In the present study, we presented a case with malunited fracture of the first metacarpal base which was accompanied adduction dysfunction of the thumb, concomitant with diabetes, who was treated successfully by miniplating and perioperative medical therapy.

 

Keywords: diabetes, fracture, metacarpal, miniplate, thumb

 

Cite this Article

Ran-Hui Kang, Mun-Sik Ko, Jang-Mi Kim. Treatment of Malunited Fracture of the First Metacarpal Base with a Comorbidity of Diabetes by Medical Therapy and Miniplate Fixation: A Case Report. Research & Reviews: Journal of Surgery. 2020; 9(3): 13–22p.

Author Biography

Mun-Sik Ko, Pyongyang University of Medicine

Traumatology and Orthopaedics and general surgery

Downloads

Additional Files

Published

2021-01-05

Issue

Vol. 9 No. 3 (2020)

Section

Case Study

License

Declaration and Copyright Transfer Form

(to be completed by authors)

I/ We, the undersigned author(s) of the submitted manuscript, hereby declare, that the above manuscript which is submitted for publication in the STM Journals(s), is not published already in part or whole (except in the form of abstract) in any journal or magazine for private or public circulation, and, is not under consideration of publication elsewhere.

  • I/We will not withdraw the manuscript after 1 week of submission as I have read the Author Guidelines and will adhere to the guidelines.
  • I/We Author(s ) have neither given nor will give this manuscript elsewhere for publishing after submitting in STM Journal(s).
  • I/ We have read the original version of the manuscript and am/ are responsible for the thought contents embodied in it. The work dealt in the manuscript is my/ our own, and my/ our individual contribution to this work is significant enough to qualify for authorship.
  •  I/We also agree to the authorship of the article in the following order:

Author’s name                                    

 

1. ________________

2. ________________

3. ________________

4. ________________

 

We  Author(s) tick this box and would request you to consider it as our signature as we agree to the terms of this Copyright Notice, which will apply to this submission if and when it is published by this journal.