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Osteosynthesis of fifth metacarpal neck fractures with a photodynamic polymer bone stabilization system.
- Source :
- Journal of Hand Surgery (17531934); Feb2020, Vol. 45 Issue 2, p119-125, 7p
- Publication Year :
- 2020
-
Abstract
- Metacarpal neck fractures with severe displacement are commonly treated surgically with intramedullary Kirschner wires. We present the results of treatment of fifth metacarpal neck fractures using a light curable intramedullary photodynamic polymer (IlluminOss™, IlluminOss Medical Inc., East Providence, RI, USA). Twenty-nine patients with isolated displaced fifth metacarpal neck fractures were included and followed up for 12–24 weeks. All fractures had radiologically healed after 3 months. In two cases, a secondary loss of reduction was seen, which did not require further correction. During the follow-up period, range of motion of the metacarpophalangeal joint was 89% after 6 weeks and increased to 100% after 3 months compared with the uninjured side. Grip strength improved over time from 61% to 85%. No implant removal was necessary. We conclude that osteosynthesis using an intramedullary photodynamic polymer is a reliable treatment option for displaced fractures of the fifth metacarpal neck. Level of evidence: IV [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17531934
- Volume :
- 45
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Hand Surgery (17531934)
- Publication Type :
- Academic Journal
- Accession number :
- 141316459
- Full Text :
- https://doi.org/10.1177/1753193419880775