A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures
Objective. This study aims to evaluate the outcome after the internal fixation of diaphyseal metacarpal fractures by a single intramedullary K-wire. Methods. In this prospective case series study, conducted from July 2017 to June 2019 in 23 adult patients with a single, unstable, diaphyseal metacarp...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/9963186 |
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| author | Mohamed I. Abulsoud Mohammed Elmarghany Tharwat Abdelghany Mohamed Abdelaal Mohamed F. Elhalawany Ahmed R. Zakaria |
| author_facet | Mohamed I. Abulsoud Mohammed Elmarghany Tharwat Abdelghany Mohamed Abdelaal Mohamed F. Elhalawany Ahmed R. Zakaria |
| author_sort | Mohamed I. Abulsoud |
| collection | DOAJ |
| description | Objective. This study aims to evaluate the outcome after the internal fixation of diaphyseal metacarpal fractures by a single intramedullary K-wire. Methods. In this prospective case series study, conducted from July 2017 to June 2019 in 23 adult patients with a single, unstable, diaphyseal metacarpal fracture, outcomes after internal surgical fixation using a single antegrade intramedullary K-wire were evaluated. The outcomes were evaluated by union rate, time to union, handgrip measurements at 6 and 12 months, and the modified Disabilities of the Arm, Shoulder, and Hand (DASH) score at 12 months. Results. The study population consisted of 17 males and 6 females, with a mean patient age of 28.4 ± 8.5 years (range, 16–45 years). The median time to final follow-up was 14 ± 1.8 months (range: 12–24 months). The mean duration of the union was 7.3 ± 1.6 weeks (range: 5–11 weeks), with a union rate of 95.7% (22 cases). The mean handgrip strength was 68% ± 12.8% of the strength of the uninjured hand after 6 months and 92.7% ± 6.9% after 12 months. The mean modified DASH score was 2.6 ± 0.26 after 12 months (range: 0–5.8). There were no cases of malrotation or infection. In conclusion, using a single 1.8–2.0 mm K-wire gives excellent functional outcomes and union rate without significant complications when used to treat an unstable metacarpal shaft fracture. |
| format | Article |
| id | doaj-art-798275e47d534e869c3cc28cd6daba40 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-798275e47d534e869c3cc28cd6daba402025-08-20T03:35:48ZengWileyAdvances in Orthopedics2090-34642090-34722021-01-01202110.1155/2021/99631869963186A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft FracturesMohamed I. Abulsoud0Mohammed Elmarghany1Tharwat Abdelghany2Mohamed Abdelaal3Mohamed F. Elhalawany4Ahmed R. Zakaria5Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Orthopedic Surgery, Helwan University, Helwan, EgyptObjective. This study aims to evaluate the outcome after the internal fixation of diaphyseal metacarpal fractures by a single intramedullary K-wire. Methods. In this prospective case series study, conducted from July 2017 to June 2019 in 23 adult patients with a single, unstable, diaphyseal metacarpal fracture, outcomes after internal surgical fixation using a single antegrade intramedullary K-wire were evaluated. The outcomes were evaluated by union rate, time to union, handgrip measurements at 6 and 12 months, and the modified Disabilities of the Arm, Shoulder, and Hand (DASH) score at 12 months. Results. The study population consisted of 17 males and 6 females, with a mean patient age of 28.4 ± 8.5 years (range, 16–45 years). The median time to final follow-up was 14 ± 1.8 months (range: 12–24 months). The mean duration of the union was 7.3 ± 1.6 weeks (range: 5–11 weeks), with a union rate of 95.7% (22 cases). The mean handgrip strength was 68% ± 12.8% of the strength of the uninjured hand after 6 months and 92.7% ± 6.9% after 12 months. The mean modified DASH score was 2.6 ± 0.26 after 12 months (range: 0–5.8). There were no cases of malrotation or infection. In conclusion, using a single 1.8–2.0 mm K-wire gives excellent functional outcomes and union rate without significant complications when used to treat an unstable metacarpal shaft fracture.http://dx.doi.org/10.1155/2021/9963186 |
| spellingShingle | Mohamed I. Abulsoud Mohammed Elmarghany Tharwat Abdelghany Mohamed Abdelaal Mohamed F. Elhalawany Ahmed R. Zakaria A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures Advances in Orthopedics |
| title | A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures |
| title_full | A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures |
| title_fullStr | A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures |
| title_full_unstemmed | A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures |
| title_short | A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures |
| title_sort | single intramedullary k wire is sufficient for the management of nonthumb metacarpal shaft fractures |
| url | http://dx.doi.org/10.1155/2021/9963186 |
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