Metacarpal Fracture Fixation with Intramedullary Screws.
J Hand Surg Asian Pac Vol
; 29(3): 217-224, 2024 Jun.
Article
in 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).Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bone Screws
/
Metacarpal Bones
/
Fractures, Bone
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Hand Surg Asian Pac Vol
Year:
2024
Document type:
Article
Affiliation country:
Australia