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268108

Intramedullary Fixation of Metacarpal Fractures Using Headless Compression Screws

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Last updated: 03 Jan 2025

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Abstract

Background: Metacarpal fractures represent about 1/3 of hand fracture, which represent 10% of all fractures, mostly in the second and third decades of life. The purpose of this study was to evaluate the functional, radiological outcomes and reducing rate of complications in patients suffering of metacarpal fractures, treated by closed reduction and internal fixation by using headless compression screws. Patients and methods: This prospective one-arm clinical trial included 18 patients presented by a total of 20 metacarpal shaft fractures, who were managed surgically at Zagazig University Hospital (ZUH), Egypt. They were managed by intra medullary headless compression screws (IMHS). Results: No cases had malunion and 3 cases had superficial skin infection by 16.6%. Regarding Total Active Motion (TAM) score, 83.4% of cases had satisfactory level, and 16.6% had unsatisfactory level. Conclusion: Intramedullary screw fixation of metacarpal fractures is an efficient and safe procedure with a low incidence of complications. The IMH screws appeared to require less casting and provide a quicker return to work.  

DOI

10.21608/ejhm.2022.268108

Keywords

Metacarpal fracture, Intramedullary Fixation, Headless compression screw

Authors

First Name

Ali Towfik

Last Name

Al-alfy

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Orcid

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First Name

Waleed Mohammed

Last Name

Nafea

MiddleName

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Affiliation

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Email

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Orcid

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First Name

Basha Ahmed Basha

Last Name

Alkhadri

MiddleName

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Affiliation

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Email

alkhadrib@gmail.com

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First Name

Ahmed Mashhour

Last Name

Gaber

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-11-02

Publish Date

2022-10-01

Page Start

6,160

Page End

6,166

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_268108.html

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https://ejhm.journals.ekb.eg/service?article_code=268108

Order

18

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Intramedullary Fixation of Metacarpal Fractures Using Headless Compression Screws

Details

Type

Article

Created At

22 Jan 2023