{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:04:11Z","timestamp":1743552251057,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T00:00:00Z","timestamp":1643068800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017961","name":"Health Commission of Heilongjiang Province","doi-asserted-by":"publisher","award":["20210404070039"],"award-info":[{"award-number":["20210404070039"]}],"id":[{"id":"10.13039\/100017961","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Healthcare Engineering"],"published-print":{"date-parts":[[2022,1,25]]},"abstract":"<jats:p>Objective. To explore the effect of joint use of external minifixator and titanium lockplate on total active motion (TAM) range and hand function recovery in comminuted metacarpal and phalanx fracture patients. Methods. The medical data of 70 patients with comminuted metacarpal and phalanx fracture treated in our hospital from June 2017 to June 2020 were screened for the retrospective study, and the patients were divided into the control group (Kirschner wire internal fixation) and the study group (an external minifixator with titanium lockplate) according to the treatment modalities, with 35 cases each. After treatment, the clinical efficacy of patients was compared between the two groups. Results. No between-group differences in patients\u2019 general data were observed (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&gt;<\/a:mo>\n                        <a:mn>0.05<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>); the time for hospital stay and fracture healing was obviously shorter in the study group than that in the control group (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.05<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>); after treatment, the study group obtained significantly higher TAM range good rate (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>&lt;<\/e:mo>\n                        <e:mn>0.05<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>), significantly higher Carroll hand function test pass rate (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                        <g:mo>&lt;<\/g:mo>\n                        <g:mn>0.05<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>), and obviously better grip strength of both hands and score on digital opposition of thumb than those in the control group (<jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>P<\/i:mi>\n                        <i:mo>&lt;<\/i:mo>\n                        <i:mn>0.05<\/i:mn>\n                     <\/i:math>\n                  <\/jats:inline-formula>); and after surgery, the study group had significantly lower incidence rates of complications such as infection, local inflammation, displacement of bone, and adhesion of tendon that those in the control group (<jats:inline-formula>\n                     <k:math xmlns:k=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                        <k:mi>P<\/k:mi>\n                        <k:mo>&lt;<\/k:mo>\n                        <k:mn>0.05<\/k:mn>\n                     <\/k:math>\n                  <\/jats:inline-formula>). Conclusion. Joint use of an external minifixator and titanium lockplate can effectively promote the TAM range and accelerate hand function recovery for comminuted metacarpal and phalanx fracture patients and is conducive to reducing the incidence of postoperative complications, which is safe and has significant efficacy.<\/jats:p>","DOI":"10.1155\/2022\/3566364","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T23:50:58Z","timestamp":1643154658000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Effect of Joint Use of External Minifixator and Titanium Lockplate on Total Active Motion Range and Hand Function Recovery in Comminuted Metacarpal and Phalanx Fracture Patients"],"prefix":"10.1155","volume":"2022","author":[{"given":"Yao","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopeadic Surgery, The First Affiliated Hospital of Jiamusi University, Jiamusi 154003, Heilongjiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1277-1489","authenticated-orcid":true,"given":"Hongwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopeadic Surgery, The First Affiliated Hospital of Jiamusi University, Jiamusi 154003, Heilongjiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.02.027"},{"issue":"1","key":"2","article-title":"Transverse fracture of metacarpal and proximal phalangeal shaft fractures of the hand treated by theta fixation","volume":"5","author":"Ashok","year":"2016","journal-title":"Journal of Evolution of Medical and Dental Sciences"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1142\/s2424835521710028"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00238-019-01545-7"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.01.034"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.5812\/traumamon.18885"},{"article-title":"Treatment of a fracture-dislocation of the ankle using RALCA\u00ae external fixator","volume-title":"MediSur","author":"T. 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