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

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1413-785220233103e266948

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 .

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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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

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.