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Metacarpal Fracture Fixation with Intramedullary Screws.
George, Adam R; Dragan, Zac; Abbot, Hagen; Handford, Cameron; Graham, David J; Sivakumar, Brahman.
Afiliación
  • George AR; Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Camperdown, NSW, Australia.
  • Dragan Z; Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Camperdown, NSW, Australia.
  • Abbot H; Faculty of Medicine and Health, The University of Sydney, Sydney Medical School, Camperdown, NSW, Australia.
  • Handford C; Department of Orthopaedic Surgery, St George Hospital, Gray St Kogarah, NSW, Australia.
  • Graham DJ; Department of Musculoskeletal Services, Gold Coast University Hospital, Southport, QLD, Australia.
  • Sivakumar B; Department of Hand & Peripheral Nerve Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia.
J Hand Surg Asian Pac Vol ; 29(3): 217-224, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38726490
ABSTRACT

Background:

Intramedullary screws (IMS) have become a viable option for metacarpal fracture fixation. To further appraise their utility, this study assessed clinical and patient-reported short- and medium-term outcomes of IMS fixation for extra-articular metacarpal fractures.

Methods:

A retrospective cohort study was performed in a series of 32 patients (with a total of 37 fractures) who underwent metacarpal fracture fixation over a 42-month period between January 2020 and July 2023.

Results:

Mean time for return to work was 39.8 days; mean time for return to full function was 88.4 days; total active motion was 250.7° (range 204.9-270.9); Quick Disabilities of the Arm, Shoulder and Hand score was 2.3 (range 0-22.7); mean visual analogue pain score was 0.9 out of 10 (range 0-6) and a single complication was observed.

Conclusions:

The use of IMS in metacarpal fracture fixation is a practicable surgical option. IMS fixations yields a satisfactory duration for return to function, good postoperative range of movement, modest pain scores and low rates of complications. Level of Evidence Level IV (Therapeutic).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tornillos Óseos / Huesos del Metacarpo / Fracturas Óseas Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Hand Surg Asian Pac Vol Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Singapur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tornillos Óseos / Huesos del Metacarpo / Fracturas Óseas Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Hand Surg Asian Pac Vol Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Singapur