Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
STATISTICAL OBSERVATION OF THE UPPER EXTREMITY INJURY
Part one : Practures of Phalanges
Keizo SakamotoMinoru NishiboriYoshikazu HondaMitsuru MonmaAkira HiranumaTakeshi KashiwagiNobuyoshi HagiwaraAtrushi Sasaki
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1970 Volume 30 Issue 10 Pages 626-630

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Abstract

This is a report on our experience on 313 fractures of phalanges, during the last four years, from Jan. 1965 to Dec. 1968.
Statistical observation and investigation on therapy were carried out. Results are described as follows :
197 cases (62 per cent) out of 313 cases were open fractures, 113 cases simple, 3 cases both combined. 274 cases (86 per cent) were fractures of one finger and 39 cases were fractures of more than two fingers. The greater part of our cases were male and the right side was somewhat more times injured than the left. Sixty-six per cent were pressed fractures due to labor accident. The working class, age of 21 to 50 years old, accounted for 78 per cent of our cases. Middle finger and ring finger were often injured. As to phalangers, distal phalanx accounted for 66 per cent. Upon investigation for therapy, it was concluded that in the case of open fracture skin wound was closed with or without skin grafting after brushing and debridement.
Injuries of middle and proximal phalanx were so often treated for more than three months, that we believe“no man's land”area seemed to correlate to the healing of phalange fracture.

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