METACARPAL FRACTURES TREATMENT: COMPARASION BETWEEN KIRSCHNER WIRE AND INTRAMEDULLARY SCREW.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Bruno Cesar Silva de Jesus, Clóvis Rodrigo Guimarães Braz Pereira da Silva, Rodrigo Domiciano Cardoso, Vitor Augusto Queiroz Mauad, Rafael Saleme Alves, Fernando Nogueira Zambone Pinto
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Abstract

ABSTRACT Introduction: Metacarpal fractures are common and can be treated surgically using Kirschner wires (K-wires) or intramedullary fixation with compression screws (IMCS). Objectives: Analyze the postsurgical results from treating the metacarpal extra-articular fractures through the retrograde Kirschner wire technique, and compare it with the intramedullary compression screw fixation. Methods: Retrospective and quantitative studies were to analyze patients’ medical records, and a postsurgical evaluation questionnaire was given to the patients, who were divided into K-wire and IMCS. Results: The period of immobilization with a splint took six weeks for the K-wire group and four weeks for the IMCS group. The average time for consolidation took, respectively, fifty-seven days and forty-seven days. The first group could restart their activities twenty-two days after the other, and the average force value of the treated hand, when compared with its contralateral, was 93.9% and 95.4%, respectively. Between the operated hand and its contralateral, there was a difference of 16° in the total measures of the metacarpophalangeal and interphalangeal joint's range of movement among the K-wire group and 5° among the IMCS group. Conclusion: The patients who participated in this study showed excellent results after surgery, and both treatments were proven to be safe and reliable. Evidence level III; Retrospective comparative study .

Abstract Image

Abstract Image

掌骨骨折的治疗:克氏针与髓内螺钉的比较。
导言:掌骨骨折是常见的,可以手术治疗,使用克氏针(k -钢丝)或髓内固定加压螺钉(IMCS)。目的:分析逆行克氏针技术治疗掌骨关节外骨折的术后效果,并与髓内加压螺钉固定进行比较。方法:回顾性和定量分析患者的医疗记录,并对患者进行术后评价问卷,将患者分为k -钢丝组和IMCS组。结果:k -钢丝组固定时间为6周,IMCS组固定时间为4周。整理的平均时间分别为57天和47天。第一组可以在另一组22天后重新开始活动,与对侧手相比,治疗手的平均力值分别为93.9%和95.4%。在手术手和对侧手之间,k -钢丝组的掌指关节和指间关节活动范围的总测量值差异为16°,IMCS组的差异为5°。结论:参与本研究的患者术后效果良好,两种治疗方法均安全可靠。证据等级III;回顾性比较研究。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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