Details

Autor(en) / Beteiligte

• García-Medrano, Belén
• Honecker, Sophie
• Facca, Sybille
• Simón, Fernando Polo
• Delgado, Pedro J.
• Liverneaux, Philippe

Titel

Intramedullary percutaneous fixation of metacarpal fractures: screw versus connected K-wires

Ist Teil von

• European journal of orthopaedic surgery & traumatology, 2022-04, Vol.32 (3), p.427-436

Ort / Verlag

Paris: Springer Paris

Erscheinungsjahr

2022

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.