Fifth metacarpal neck fracture fixation: antegrade intramedullary pinning with two K-wires or percutaneous retrograde crossed pinning

Authors : Fırat FİDAN, Mehmet Ümit ÇETİN

Pages : 1190-1194

Doi:10.32322/jhsm.1116129

View : 35 | Download : 10

Publication Date : 2022-07-20

Article Type : Research Paper

Abstract :Objective: The present study aimed to compare clinical and radiological outcomes in patients with displaced fifth metacarpal neck fractures after treatment with antegrade intramedullary pinning with two K-wires or percutaneous retrograde crossed pinning. Material Method: While seventeen patients were treated with antegrade intramedullary pinning insert ignore into journalissuearticles values(Group );, 14 were treated with percutaneous retrograde crossed pinning insert ignore into journalissuearticles values(Group 2);. Clinical and radiological outcomes included Quick Dash, active range of motion insert ignore into journalissuearticles values(ROM);, VAS, and dorsal angulation loss at weeks four and twelve and in the final follow-up. Results: The findings revealed that the groups had mean ages of 29.41±8.15 years and 27.78±7.42 years, res-pectively. While ROM was better in Group 2 at weeks four and twelve, we could not find a significant difference between the groups by active ROM in the final follow-up. Moreover, Group 1 had a better Dash score in the fourth week and twelth week , but both groups had similar Dash scores in the final follow-up. Finally, the groups had no preoperative and postoperative differences radiologically. Conclusion: The present findings uncovered that treatment of a displaced fifth metacarpal neck fracture by anteg-rade intramedullary pinning yielded a better in the first three months improvement in active ROM and Quick Dash than percutaneous retrograde crossed pinning.
Keywords : Fifth metacarpal fracture, percutaneous retrograde crossed pinning, intramedullary anteg rade pinning