Beta
ManageSearchChatDiscover
103729

Comparative Study Between Intramedullary K-wire Fixation Versus Transverse Pinning in Treatment of Fifth Metacarpal Neck Fracture

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Fifth metacarpals and phalangeal fractures are common, and neck fractures of the fifth metacarpal is the commonest. Improper treatment is associated with negative economic impact due to its associated disabilities. 
Aim of the work: To compare between intra-medullary and transvers K-wires for fifth metacarpal neck fractures.
Patients and Methods:Thirty patients with 5th metacarpal neck fracture were included. Fifteen treated by intramedullary k-wire fixation, and fifteen treated by transverse k-wire pinning. Preoperatively, patients were evaluated by clinical, radiological and laboratory studies. Postoperatively, they were assessed clinically and by imaging studies. Objective assessment had been achieved by the total active range of motion [TAM] and hand-grip strength.
Results: Both groups were comparable as regard to patient and injury characteristics. Punch was the most common mechanism of injury. The right side was affected in 80%, and the transverse fracture was the most common [reported in 53.3%].  Finally, outcome was slightly better in group 1, except for one patient of non-union. The results based on TAM% were excellent, good, fair and poor among 60.0%, 26.7%, 6.7% and 6.7% in group 1, compared to 83.3%, 40.0%, 0.0% and 6.7% in group 2 with the same order. The time to union ranged between 6 and 14 weeks. Finally, complications were reported in 20% of group 1 and 33.3% of group 2.
Conclusion: Intramedullary K-wire Fixation and Transverse Pinning provide an optimal treatment options for Fifth Metacarpal Neck Fracture. Intramedullary K-wire Fixation provide slightly better outcome. However, the superiority is not statistically significant. 

DOI

10.21608/ijma.2020.32039.1134

Keywords

Fifth metacarpal, K-wire, intramedullary, Pinning, fracture

Authors

First Name

Ismaeel Shaker

Last Name

Sallam

MiddleName

Eraky

Affiliation

Department of Orthopedic Surgery, Nasser General Hospital, Ministry of Health, Egypt

Email

ises.ortho@domazhermedicine.edu.eg

City

New Damietta

Orcid

-

First Name

ashraf

Last Name

ezzeldeen

MiddleName

eltabie

Affiliation

Department of Orthopedics, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

shraftabie@domazhermedicine.edu.eg

City

-

Orcid

-

First Name

Samir

Last Name

El-Shoura

MiddleName

Ahmed

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

samirahmed1920@domazhermedicine.edu.eg

City

-

Orcid

-

Volume

2

Article Issue

3

Related Issue

16043

Issue Date

2020-07-01

Receive Date

2020-06-07

Publish Date

2020-07-01

Page Start

580

Page End

589

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 3_Pages 580-589.pdf

PDF . 638.1kB

Link

https://ijma.journals.ekb.eg/article_103729.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=103729

Order

14

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023