Fractures of the neck of the fifth metacarpal bone, treated by percutaneous intramedullary nailing: surgical technique, radiological and clinical results study (28 cases)
| Autor: | Mohamad Azarkane, Mohamed Shimi, Mohammed Bachiri, Abdelhalim Elibrahimi, Mohamad Elidrissi, Hassan Boussakri, Abdelmajid Elmrini, Soufiane Bensaad |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Adolescent boxer's fracture Boxer's fracture Metacarpal bones law.invention Fifth metacarpal bone Intramedullary rod Fractures Bone Young Adult Fixation (surgical) Closed Fracture law medicine Humans medicine.bone Case Series Kirschner wire Range of Motion Articular minimally invasive intramedullary nailing lcsh:R5-920 business.industry lcsh:Public aspects of medicine lcsh:RA1-1270 General Medicine Boxing Length of Stay Metacarpal Bones Middle Aged medicine.disease Fracture Fixation Intramedullary Surgery Radiography Treatment Outcome metacarpal neck fracture Female lcsh:Medicine (General) business Follow-Up Studies |
| Zdroj: | The Pan African Medical Journal, Vol 18, Iss 187 (2014) The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| DOI: | 10.11604/pamj.2014.18.187.3347 |
| Popis: | This study report the results in 28 patients affected by closed fractures of the neck of the fifth metacarpal bone (boxer's fracture), treated with percutaneous elastic intramedullary nailing using a single wire, to verify the effectiveness of this surgical treatment. We reviewed the results of 28 patients treated with A single Kirschner wire (K-wire) pre-bent in a lazy-S fashion with a mild bend at approximately 5 millimeters, The K-wire is inserted blunt end first in an antegrade manner and the fracture reduced as the wire is passed across the fracture site The wire is usually removed with pliers post-operatively at four weeks in the fracture clinic. The follow-up period averaged of 20,75 months. The parameters evaluated included angulation, rotational alignment, postoperative metacarpophalangeal (MCP) range of motion, and time to union. We opted for this treatment in all cases, regardless volar angulation of the metacarpal head, malrotation of the fifth finger and associated or/no with a severe swelling of the hand. All the patients were reviewed clinically and radiologically at an average of 20,75 months after surgery. At the final follow-up, no patient reported residual pain and All fractures proceeded to bony union but we have one fracture had to be revised for failed fixation and three superficial wound infections needed antibiotic treatment. We recommend that this minimally invasive: percutaneous intramedullary nailing using a single k-wire in all metacarpal neck fracture (boxers' fractures), especially when severe swelling of the hand is present, with good functional results and low morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|