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Dergiler / Joint diseases and related surgery / 2021 / Cilt: 32 - Sayı: 2

Comparison of clinical and radiological results of fixation methods with retrograde intramedullary Kirschner wire and plate-screw in extra-articular metacarpal fractures

Mehmet BAYDAR
Kahraman ÖZTÜRK
Serkan AYKUT
Osman ORMAN
Ayşe ŞENCAN
Abdurrahman AYDIN
Sayfa
397–405
Yayın Tarihi
2022-10-19
DOI
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A significantdifference was found in surgery duration (p=0.021) and number offluoroscopy images (p

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Amaç & Hipotez:Objectives: In this study, we aimed to compare clinical andradiographic outcomes of retrograde intramedullary Kirschner-wire(K-wire) fixation with those of plate-screw (PS) fixation.Patients and methods: A total of 98 metacarpal shaft fracturesin 75 patients (65 males, 10 females; mean age: 31.2±10.9 years;range, 16 to 65 years) were included between January 2011 andDecember 2017.
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Temel Bulgular & Veri:Wecompared surgery duration, number of fluoroscopy images, andcost-effectiveness for each technique.Results: The overall mean follow-up was 21.9 (range, 12 to 56)months.
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Sonuç & Katkı:A significantdifference was found in surgery duration (p=0.021) and number offluoroscopy images (p
🔬Tür:Araştırma Makalesi
📍Kapsam:2011 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Objectives: In this study, we aimed to compare clinical andradiographic outcomes of retrograde intramedullary Kirschner-wire(K-wire) fixation with those of plate-screw (PS) fixation.Patients and methods: A total of 98 metacarpal shaft fracturesin 75 patients (65 males, 10 females; mean age: 31.2±10.9 years;range, 16 to 65 years) were included between January 2011 andDecember 2017. The total joint active range of motion (AROM)and grip strength of the healthy and broken hands were evaluated.The Visual Analog Scale (VAS) and Quick Disabilities of theArm, Shoulder, and Hand (QuickDASH) scores were recorded. Wecompared surgery duration, number of fluoroscopy images, andcost-effectiveness for each technique.Results: The overall mean follow-up was 21.9 (range, 12 to 56)months. At the last follow-up, total joint AROM (p=0.072), VASscore (p=0.298), QuickDASH score (p=0.132), and hand grip strength(p=0.947) were similar between the groups. Radiological unionoccurred in the PS and K-wire groups in a mean of 5.84 (range, 3 to 8)and 4.46 (range, 3 to 20) weeks, respectively (p=0.173). A significantdifference was found in surgery duration (p=0.021) and number offluoroscopy images (p

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Bu Makaleye Atıf Yap

BAYDAR, M., ÖZTÜRK, K., AYKUT, S., ORMAN, O., ŞENCAN, A., AYDIN, A. (2022). Comparison of clinical and radiological results of fixation methods with retrograde intramedullary Kirschner wire and plate-screw in extra-articular metacarpal fractures. Joint diseases and related surgery, Cilt: 32 - Sayı: 2, 397–405. https://ajindex.com/articles/559196

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Kaynakça (15)

  1. Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am 2001;26:908-15
  2. Diaz-Garcia R, Waljee JF. Current management of metacarpal fractures. Hand Clin 2013;29:507-18
  3. Kamath JB, Harshvardhan, Naik DM, Bansal A. Current concepts in managing fractures of metacarpal and phalangess. Indian J Plast Surg 2011;44:203-11
  4. Ruchelsman DE, Puri S, Feinberg-Zadek N, Leibman MI, Belsky MR. Clinical outcomes of limited-open retrograde intramedullary headless screw fixation of metacarpal fractures. J Hand Surg Am 2014;39:2390-5
  5. Henry MH. Fractures of the proximal phalanx and metacarpals in the hand: Preferred methods of stabilization. J Am Acad Orthop Surg 2008;16:586-95
  6. Melone CP Jr. Rigid fixation of phalangeal and metacarpal fractures. Orthop Clin North Am 1986;17:421-35
  7. Lee SK, Kim KJ, Choy WS. Modified retrograde percutaneous intramedullary multiple Kirschner wire fixation for treatment of unstable displaced metacarpal neck and shaft fractures. Eur J Orthop Surg Traumatol 2013;23:535-43
  8. Winter M, Balaguer T, Bessière C, Carles M, Lebreton E. Surgical treatment of the boxer's fracture: Transverse pinning versus intramedullary pinning. J Hand Surg Eur Vol 2007;32:709-13
  9. Dreyfuss D, Allon R, Izacson N, Hutt D. A comparison of locking plates and intramedullary pinning for fixation of metacarpal shaft fractures. Hand (N Y) 2019;14:27-33
  10. Ozer K, Gillani S, Williams A, Peterson SL, Morgan S. Comparison of intramedullary nailing versus plate-screw fixation of extra-articular metacarpal fractures. J Hand Surg Am 2008;33:1724-31
  11. Schädel-Höpfner M, Wild M, Windolf J, Linhart W. Antegrade intramedullary splinting or percutaneous retrograde crossed pinning for displaced neck fractures of the fifth metacarpal? Arch Orthop Trauma Surg 2007;127:435-40
  12. Fusetti C, Meyer H, Borisch N, Stern R, Santa DD, Papaloïzos M. Complications of plate fixation in metacarpal fractures. J Trauma 2002;52:535-9
  13. Page SM, Stern PJ. Complications and range of motion following plate fixation of metacarpal and phalangeal fractures. J Hand Surg Am 1998;23:827-32
  14. Greeven AP, Bezstarosti S, Krijnen P, Schipper IB. Open reduction and internal fixation versus percutaneous transverse Kirschner wire fixation for single, closed second to fifth metacarpal shaft fractures: A systematic review. Eur J Trauma Emerg Surg 2016;42:169-75
  15. Aykut S, Öztürk K, Özcan Ç, Demiroğlu M, Gürün AU, Özden E.