Abstract book - ESPRAS

thumb. are particularly common. The present excemination was carried out
in order to find out a correlation between the clinical outcome and type of
fracture, the quality of reduction, the surgical procedure and the extent of
osteoarthrosis. Mechanysm of injury is an axially directed force through
the partially flexed metacarpal shaft. We had 146 cases of fractures of the
base of the first metacarpal bone which we devided into four types: 44%
Bennet fractures, 39% extraarticular fractures, 112% Rolando fractures and
5% comminuted fractures. Patients were predominantlly between 20 and
39 years old ( 69% males ). We used conservative and operative treatment
methods, depending on fracture type. Most extraarticular fractures can be
treated conservativelly with good outcome results depending on achived
reduction and fragment stability. Intraarticular fractures present treatment
challenges because they tend to displace due to deforming force acting at
base of thumb.
P 31. Perilunate dislocations – our experience
Vlahović T 1 ., Malović M 1 , Šurjak Ž 1 ,., Matec B 1 ., Veir Z. 2 ,
Rabić D 1 ,
1 Clinic for Traumatology, Zagreb, Croatia
2 Department for Surgery, General Hospital “Josip Benčević”,
Slavonski Brod, Croatia
With this poster we would like to present our experiance in treating
perilunate injuries. The wrist is a complex of joints between seven bones
whose function is to provide motion to and transmit force between the hand
distally and the forearm proximally. Most clinically important carpal
dislocations and fracture-dislocations result from falls on the palm of the
hand resulting in a hyperextension injury to the wrist. We classified
perilunate injuries in classification made by Mayfield and co-workers who
has made IV stages of perilunate instability. Perilunate dislocations and
fracture dislocations are uncommon injuries, constituting about 10% of all
carpal injuries. These injuries tend to remain undiagnosed for varying
lenghts of time and when discovered treatment varies and is controversial.
Periluanr dislocations are very unstabile injuries and and we prefer to be
treated with OR IF. OR gives the best oportunity for primary repair of
ligaments and fixation to obtain good results. This poster examines the
clinical presentation, diagnostic techniques, and management options
applicable to the emergency practitioner
P 32. Surgical facial wounds. Simple interrupted percutaneous
suture (SIPS) versus running intradermal suture (RIS)
Vukašin G., Bednar S., Berebrić B., Lazić G.
Department for ENT, General Hospital Karlovac, Karlovac, Croatia
The purpose of this study is to compare the esthetics of scars resulting from
surgical facial wounds sutured either with simple interrupted percutaneous
( SIPS ) or with running intradermal suture ( RIS ). We admited and
followed sixty patients, and managed seventyone surgical wounds from
simple excisions and primary closure.