Alternative Surgical Treatment Method for 5th Metacarpal Neck Fractures: Comparison of Clinical Outcomes of Intramedullary and Transverse K-Wire Fixations with Additional Antirotational K-Wire.
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引用次数: 0
Abstract
Purpose of the study: The purpose of this study was to assess the clinical outcomes and complications associated with intramedullary and transverse K-wire fixations of 5th metacarpal neck fractures.
Material and methods: Patients who were operated for 5th metacarpal neck fractures between 2019 and 2022 were evaluated retrospectively. Regarding the surgical treatment methods, patients were assessed by dividing them into two groups. The first group comprised patients who underwent treatment with an intramedullary K-wire. The second group comprises patients who underwent transverse K-wire fixation.
Results: The average quick DASH score of all patients was 5.6±4.7 in the intramedullary K-wire fixation group and 5.9±5.1 in the transverse K-wire fixation group. An average 5th finger metacarpophalangeal joint extension limitation was 6.2±5.7° in the intramedullary fixation group and 6.1±5.8° in the transverse K-wire group. The mean radiological union time was 4.9±0.7 weeks in the intramedullary fixation group and 5.1±0.7 weeks in the transverse K-wire group. No statistically significant difference was found between the quick DASH scores and degrees of the MCP joint extension limitation ( p=0.785). Intramedullary fixation and transverse K-wire fixations are effective surgical treatment methods for metacarpal neck fractures.
Discussion: It has been reported that the intramedullary fixation method in metacarpal bone fractures is more effective than the fixation methods with cross and transverse K-wire. But our results revealed no difference in clinical outcomes between the two surgical fixation methods.
Conclusions: We observed no statistically significant difference between the two fixation techniques with regard to union, clinical outcomes, or complications.
研究目的本研究旨在评估与第5掌骨颈骨折髓内固定和横向K线固定相关的临床结果和并发症：对2019年至2022年期间因第5掌骨颈骨折接受手术的患者进行回顾性评估。关于手术治疗方法，将患者分为两组进行评估。第一组包括接受髓内K线治疗的患者。第二组包括接受横向K线固定的患者：髓内K线固定组所有患者的平均快速DASH评分为（5.6±4.7）分，横向K线固定组为（5.9±5.1）分。髓内固定组患者第五指掌指关节的平均伸展度为 6.2±5.7°，横向 K 线固定组为 6.1±5.8°。髓内固定组的平均放射学结合时间为4.9±0.7周，横向K线组的平均放射学结合时间为5.1±0.7周。快速DASH评分与MCP关节伸展受限程度之间无统计学差异（P=0.785）。髓内固定和横向K线固定是治疗掌骨颈骨折的有效手术方法：讨论：有报道称，掌骨骨折的髓内固定方法比交叉和横向 K 线固定方法更有效。但我们的研究结果显示，两种手术固定方法的临床疗效没有差异：结论：我们观察到两种固定技术在骨结合、临床疗效和并发症方面没有统计学意义上的差异。
期刊介绍：
Editorial Board accepts for publication articles, reports from congresses, fellowships, book reviews, reports concerning activities of orthopaedic and other relating specialised societies, reports on anniversaries of outstanding personalities in orthopaedics and announcements of congresses and symposia being prepared. Articles include original papers, case reports and current concepts reviews and recently also instructional lectures.
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