Abstract

The outcome of hand fractures correlates closely with the severity of initial injury. The risk factors include injuries of the tendons and tendon sheaths, damage of the articular cartilage, comminution of fractures, severely crushed soft tissues, bone loss, aggressive surgical dissection, delay of treatment, and the implant itself. On admission, demographic data was recorded and a thorough history was taken to assess mode of injury and associated co-morbidities. General systematic and local examination were done to assess other associated injuries and open wounds followed by radiological evaluation in AP and oblique views. Functional outcome assessed by ASSH (American Society for Surgery of the Hand) TAF (Total Active Flexion) score was excellent in 22 patients (73%), good in 6 patients (20%), fair in 2 patient (6%). The overall results are satisfactory.

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