1. Intramedullary percutaneous fixation of metacarpal fractures: screw versus connected K-wires.
- Author
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García-Medrano, Belén, Honecker, Sophie, Facca, Sybille, Simón, Fernando Polo, Delgado, Pedro J., and Liverneaux, Philippe
- Subjects
INTERNAL fixation in fractures ,SPORTS participation ,ACADEMIC medical centers ,ACQUISITION of data methodology ,RANGE of motion of joints ,CONVALESCENCE ,BONE screws ,METACARPUS ,HEALTH outcome assessment ,SURGERY ,PATIENTS ,RETROSPECTIVE studies ,COMPARATIVE studies ,FRACTURE fixation ,MEDICAL records ,BONE fractures ,LONGITUDINAL method - Abstract
The purpose of the present study was to determine clinical and radiographic outcomes in patients treated with limited-open retrograde intramedullary headless screw fixation for metacarpal neck and shaft fractures (group I) versus percutaneous antegrade and retrograde intramedullary double pinning linked by a connector (group II). We designed a retrospective comparative study, with the inclusion of two groups (20 patients each) of metacarpal unstable fractures. Both groups showed similar outcomes at the final follow-up, except for extension lag (significantly better in group II) and return to sport (significantly better in group I). Intramedullary screw fixation did not accelerate bone union and range of motion recovery in the early follow-up. In conclusion, limited-open retrograde intramedullary headless screw fixation and percutaneous connected antegrade and retrograde intramedullary double pinning are both reliable techniques of fixation for metacarpal neck and shaft fractures. Level of evidence: III. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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