Colocação segura de pinos percutâneos em fraturas subcapitais do quinto metacarpo: um estudo anatômico

Polat, Onur; Cömert, Ayhan; Atalar, Hakan; Açar, Hali̇l İbrahi̇m; Tüccar, Eray

doi:10.1590/s1413-78522011000200009

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…In case of the fifth metacarpal bone, the soft tissue and skin were pulled tightly to the radial side and a small incision was made on the ulnar side of the fifth metacarpal bone base level in order to avoid the anatomical location of the dorsal branch of the ulnar nerve ( Fig. 2 ) 6 7 8 . Under the direct visualization of the notch of the cortex, the metaphyseal cortex was perforated with an awl, and the nails were advanced using a small mallet in order to prevent the supplementary bending of the nails during insertion ( Fig.…”

Section: Methodsmentioning

confidence: 99%

Comparison between Intramedullary Nailing and Percutaneous K-Wire Fixation for Fractures in the Distal Third of the Metacarpal Bone

Moon

Yang²,

Roh

et al. 2014

Arch Plast Surg

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BackgroundTo compare clinical and radiographic outcomes between intramedullary nail fixation and percutaneous K-wire fixation for fractures in the distal third portion of the metacarpal bone.MethodsA single-institutional retrospective review identified 41 consecutive cases of metacarpal fractures between September 2009 and August 2013. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the distal third of the metacarpal bone. The patients were divided by the method of fixation (intramedullary nailing or K-wire). Outcomes were compared for mean and median total active motion of the digit, radiographic parameters, and period until return to work. Complications and symptoms were determined by a questionnaire.ResultsDuring the period under review, 41 patients met the inclusion criteria, and the fractures were managed with either intramedullary nailing (n=19) or percutaneous K-wire fixation (n=22). The mean and median total active range of motion and radiographic healing showed no statistically significant difference between the two groups. No union failures were observed in either group. The mean operation time was shorter by an average of 14 minutes for the percutaneous K-wire fixation group. However, the intramedullary nailing group returned to work earlier by an average of 2.3 weeks. Complications were reported only in the K-wire fixation group.ConclusionsIntramedullary nailing fixation is advisable for fractures in the distal third of the metacarpal bone. It provides early recovery of the range of motion, an earlier return to work, and lower complication rates, despite potentially requiring a wire removal procedure at the patient's request.

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Section: Methodsmentioning

confidence: 99%

Comparison between Intramedullary Nailing and Percutaneous K-Wire Fixation for Fractures in the Distal Third of the Metacarpal Bone

Moon

Yang²,

Roh

et al. 2014

Arch Plast Surg

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Flexible Stable Intramedullary Nailing for the Management of Metacarpal Neck Fractures

Sadek

2020

Journal of Hand and Microsurgery

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Introduction When dealing with metacarpal neck fractures, the aim of treatment should include clinical and radiological objectives. The aim of this study was to assess the efficacy of flexible stable intramedullary nailing for the management of metacarpal neck fractures. Materials and Methods A total of twenty four patients (22 males and 2 females; mean age: 28.2 ± 7.7 years) with metacarpal neck fractures (second in 7 patients and fifth in 17 patients) whether isolated or associated with other body injuries and managed by percutaneous flexible stable intramedullary nailing were reviewed for a retrospective case series. Personal interviews were conducted together with clinical and radiological assessments. The final results were recorded at the time of personal interviews. Results The mean duration of surgery was 19.3 ± 2.5 minutes. The mean time of radiological union was 5 ± 1.3 weeks. The mean postoperative active range of motion of the metacarpophalangeal joint was 102.4 ± 11 degrees. The mean supination power of the involved hand in comparison to the contralateral side was 97.8 ± 3.4%, whereas the pronation power percentage was 99.2% ± 1.6. The mean power grip percentage to the contralateral side was 96.4 ± 2.9%, whereas the mean percentage of the pinch grip was 96.1 ± 4.2%. The mean postoperative DASH (Disability of Arm, Shoulder, and Hand) score was 0.3 ± 0.5. Conclusion Percutaneous flexible stable intramedullary nailing for the treatment of metacarpal neck fractures has expanded the armamentarium of the orthopaedic surgeons as an easy, cost-effective technique overcoming all possible deformities and allowing early and reliable active rehabilitation. Level of Evidence This is a Type IV, therapeutic retrospective case series.

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Iatrogenic Injuries in Percutaneous Pinning Techniques for Fifth Metacarpal Neck Fractures

Akinleye

Garofolo-Gonzalez

Culbertson

et al. 2017

Hand (New York, N,Y.)

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Colocação segura de pinos percutâneos em fraturas subcapitais do quinto metacarpo: um estudo anatômico

Cited by 4 publications

References 24 publications

Comparison between Intramedullary Nailing and Percutaneous K-Wire Fixation for Fractures in the Distal Third of the Metacarpal Bone

Comparison between Intramedullary Nailing and Percutaneous K-Wire Fixation for Fractures in the Distal Third of the Metacarpal Bone

Flexible Stable Intramedullary Nailing for the Management of Metacarpal Neck Fractures

Iatrogenic Injuries in Percutaneous Pinning Techniques for Fifth Metacarpal Neck Fractures

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