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Journals / Çukurova Anestezi ve Cerrahi Bilimler Dergisi / 2026 / Cilt: 9 Sayı: 2

Clinical and Radiological Outcomes of Intramedullary Screw and Plate-Screw Fixation in Extra-Articular Metacarpal Fractures: A Comparative Study

Ekstraartiküler Metakarp Kırıklarında İntramedüller Vida ile Plak-Vida Kombinasyonunun Klinik ve Radyolojik Sonuçlarının Karşılaştırılması

Ali Said Nazlıgül(Sincan Training and Research Hospital)0000-0003-3451-3691
Nuri Koray Ülgen(Sincan Training and Research Hospital)0000-0003-0301-3432
Nihat Yiğit(Sincan Training and Research Hospital)0009-0002-8670-5484
Yasin Erdoğan(Etlik City Hospital)0000-0001-6862-9671
Şahan Güven(Bilkent City Hospital)0000-0001-5174-7970
Mehmet Orçun Akkurt(Sincan Training and Research Hospital)0000-0003-4935-0143
Pages
520–528
Publication Date
2026-06-30
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Keywords: Fracture Fixation; Hand Injuries; Metacarpal Bones

📌 3 Key Takeaways

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Objective & Hypothesis:Abstract Introduction The aim of this study was to compare the clinical and radiological outcomes of intramedullary headless compression screw fixation and plate-screw fixation in metacarpal shaft and neck fractures, and to evaluate the effectiveness of both treatment methods.
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Key Findings & Data:Methods Fifty-three patients (aged 18–65) treated between June 2023 and June 2025 were retrospectively reviewed.
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Conclusion & Impact:Keywords: Fracture Fixation; Hand Injuries; Metacarpal Bones
🔬Design:Review & Systematic Survey
📍Scope:2023 Verileri
⚙️Variables:El Yaralanmaları · Metakarp Kırıkları · Kırık Fiksasyonu

Abstract

Abstract Introduction The aim of this study was to compare the clinical and radiological outcomes of intramedullary headless compression screw fixation and plate-screw fixation in metacarpal shaft and neck fractures, and to evaluate the effectiveness of both treatment methods. Methods Fifty-three patients (aged 18–65) treated between June 2023 and June 2025 were retrospectively reviewed. Patients with a minimum of 6 months follow-up who were treated with either an intramedullary (IM) headless compression screw or plate-screw (PS) fixation were included in the study. Demographic data, the affected metacarpal, QuickDASH scores, grip strength, total active motion (TAM), time to return to work, time to union, and postoperative complications were recorded. Statistical significance was set at p 0.05). The IM group demonstrated significantly lower QuickDASH scores (p=0.029), higher grip strength (p=0.025), and greater TAM (p 0.05). Conclusion The findings of this study suggest that IM screw fixation may provide better functional outcomes, along with shorter times to return to work and fracture union, compared with plate-screw fixation for extra-articular metacarpal fractures. Its minimally invasive nature and comparable safety profile make it an effective treatment option for appropriately selected patients. Keywords: Fracture Fixation; Hand Injuries; Metacarpal Bones

Özet

Özet Giriş: Bu çalışmanın amacı, metakarp şaft ve boyun kırıklarında intramedüller başsız kompresyon vidası fiksasyonu ile plak-vida fiksasyonunun klinik ve radyolojik sonuçlarını karşılaştırmak ve her iki tedavi yönteminin etkinliğini değerlendirmektir. Yöntemler: Haziran 2023 ile Haziran 2025 tarihleri arasında tedavi edilen 18-65 yaş arası 53 hasta retrospektif olarak incelendi. Çalışmaya, intramedüller (IM) başsız kompresyon vidası veya plak-vida (PS) fiksasyonu ile tedavi edilen ve en az 6 aylık klinik ve radyolojik takibi olan hastalar dahil edildi. Demografik veriler, etkilenen metakarp, QuickDASH skorları, kavrama gücü, toplam aktif hareket (TAM), işe dönüş süresi, kaynama süresi ve postoperatif komplikasyonlar kaydedildi. İstatistiksel anlamlılık düzeyi p 0.05). IM grubu, anlamlı derecede daha düşük QuickDASH skorları (p=0.029), daha yüksek kavrama gücü (p=0.025) ve daha fazla TAM (p 0.05). Sonuç: Bu çalışmanın bulguları, ekstra-artiküler metakarp kırıklarında IM vida fiksasyonunun, plak-vida fiksasyonuna kıyasla daha iyi fonksiyonel sonuçlar sağlamanın yanı sıra işe dönüş ve kırık kaynaması sürelerini kısalttığını düşündürmektedir. Minimal invaziv doğası ve benzer güvenlik profili ile IM fiksasyon, uygun şekilde seçilmiş hastalar için etkili bir tedavi seçeneği olarak değerlendirilebilir. Anahtar Kelimeler: Kırık Tespiti; El Yaralanmaları; Metakarp Kemikleri

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Cite This Article

Nazlıgül, A. S., Ülgen, N. K., Yiğit, N., Erdoğan, Y., Güven, Ş., Akkurt, M. O. (2026). Clinical and Radiological Outcomes of Intramedullary Screw and Plate-Screw Fixation in Extra-Articular Metacarpal Fractures: A Comparative Study. Çukurova Anestezi ve Cerrahi Bilimler Dergisi, Cilt: 9 Sayı: 2, 520–528. https://doi.org/10.36516/jocass.1944513

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