Comparison of clinical and radiological results of fixation methods with retrograde intramedullary Kirschner wire and plate-screw in extra-articular metacarpal fractures
| Autor: | Baydar, Mehmet, Aydın, Abdurrahman, Şencan, Ayşe, Orman, Osman, Aykut, Serkan, Öztürk, Kahraman |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent metacarpal fracture Bone Screws Operative Time law.invention Intramedullary rod Fractures Bone Young Adult Fixation (surgical) Grip strength law intramedullary fixation Hand strength Fracture fixation Bone plate medicine Humans Orthopedics and Sports Medicine Kirschner wire plate-screw fixation Range of Motion Articular Aged Hand Strength business.industry Rehabilitation Hand trauma Metacarpal Bones Middle Aged Fracture Fixation Intramedullary Surgery Fluoroscopy Original Article Female Range of motion business Bone Plates Bone Wires Follow-Up Studies |
| Zdroj: | Joint Diseases and Related Surgery |
| ISSN: | 2687-4792 2687-4784 |
| Popis: | Objectives: In this study, we aimed to compare clinical and radiographic outcomes of retrograde intramedullary Kirschner-wire (K-wire) fixation with those of plate-screw (PS) fixation. Patients and methods: A total of 98 metacarpal shaft fractures in 75 patients (65 males, 10 females; mean age: 31.2±10.9 years; range, 16 to 65 years) were included between January 2011 and December 2017. The total joint active range of motion (AROM) and grip strength of the healthy and broken hands were evaluated. The Visual Analog Scale (VAS) and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores were recorded. We compared surgery duration, number of fluoroscopy images, and cost-effectiveness for each technique. Results: The overall mean follow-up was 21.9 (range, 12 to 56) months. At the last follow-up, total joint AROM (p=0.072), VAS score (p=0.298), QuickDASH score (p=0.132), and hand grip strength (p=0.947) were similar between the groups. Radiological union occurred in the PS and K-wire groups in a mean of 5.84 (range, 3 to 8) and 4.46 (range, 3 to 20) weeks, respectively (p=0.173). A significant difference was found in surgery duration (p=0.021) and number of fluoroscopy images (p Conclusion: Retrograde intramedullary K-wire fixation has certain advantages such as being less invasive and more accessible with shorter operation time, compared to PS fixation. Similar radiological and clinical scores can be obtained in patients undergoing retrograde intramedullary K-wire fixation or PS fixation. |
| Databáze: | OpenAIRE |
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