[Osteosynthesis in the area of the hand. 168 cases of single and combination osteosyntheses].

In the years 1970-76 we have performed 168 cases of AO (ASIF) internal fixation of closed and compound fractures of the hand. The study gives a classification of fractures. The indications were as follows: Where closed manipulation did not give accurate reduction; where fragment dislocation was imminent and where malalignment of the fragments is already manifest. We also confirmed the value of internal fixation on compound fractures with associated injuries of nerves, vessels and tendons. A survey of our results is given using different methods and AO materials (screws, screwed plates, and combined methods) with or without K-wires for internal fixation, applied to different types of fractures in the hand. We also describe the preoperative preparation of the patient, the methods of anaesthesia, the follow-up treatment and the salutary effects of therapy on a mainly out patient basis.