دورية أكاديمية
A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures
| العنوان: | A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures |
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| المؤلفون: | Mohamed I. Abulsoud, Mohammed Elmarghany, Tharwat Abdelghany, Mohamed Abdelaal, Mohamed F. Elhalawany, Ahmed R. Zakaria |
| المصدر: | Advances in Orthopedics, Vol 2021 (2021) |
| بيانات النشر: | Hindawi Limited, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | Orthopedic surgery, RD701-811 |
| الوصف: | 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. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2090-3464 2090-3472 |
| العلاقة: | https://doaj.org/toc/2090-3464Test; https://doaj.org/toc/2090-3472Test |
| DOI: | 10.1155/2021/9963186 |
| الوصول الحر: | https://doaj.org/article/798275e47d534e869c3cc28cd6daba40Test |
| رقم الانضمام: | edsdoj.798275e47d534e869c3cc28cd6daba40 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20903464 20903472 |
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| DOI: | 10.1155/2021/9963186 |