Evidence-based medicine: management of metacarpal fractures

VW Wong, JP Higgins - Plastic and reconstructive surgery, 2017 - journals.lww.com
Background: Metacarpal fractures are common injuries that plastic surgeons should be able
to evaluate and treat. The goal of this review is to highlight current evidence for managing …

Challenging the dogma: severely angulated neck fractures of the fifth metacarpal must be treated surgically

MEH Boeckstyns - Journal of Hand Surgery (European …, 2021 - journals.sagepub.com
Cadaveric studies suggest that the acceptable deformity in fifth metacarpal neck fractures is
maximally 30° palmar angulation. This systematic review verifies the validity of these …

Headless compression screw versus Kirschner wire fixation for metacarpal neck fractures: a biomechanical study

DM Avery III, S Klinge, F Dyrna, L Pauzenberger… - The Journal of hand …, 2017 - Elsevier
Purpose This study aimed to determine the biomechanical stability of headless compression
screws in the fixation of metacarpal neck fractures and to compare them with another …

Analysis of 3 different operative techniques for extra-articular fractures of the phalanges and metacarpals

I Esteban-Feliu, I Gallardo-Calero, S Barrera-Ochoa… - Hand, 2021 - journals.sagepub.com
Background: Several techniques have been described for treating metacarpal and
phalangeal fractures. We sought to compare the 3 techniques most frequently used for extra …

[HTML][HTML] Effect of oblique headless compression screw fixation for metacarpal shaft fracture: a biomechanical in vitro study

YC Chiu, TY Ho, YN Ting, MT Tsai, HL Huang… - BMC Musculoskeletal …, 2021 - Springer
Background Metacarpal shaft fracture is a common fracture in hand trauma injuries. Surgical
intervention is indicated when fractures are unstable or involve considerable displacement …

Single versus dual Kirschner wires for closed reduction and intramedullary nailing of displaced fractures of the fifth metacarpal neck (1-2 KiWi): a randomized …

A Eisenschenk, R Spitzmüller, C Güthoff… - The Bone & Joint …, 2019 - boneandjoint.org.uk
Aims The aim of this study was to investigate whether clinical and radiological outcomes
after intramedullary nailing of displaced fractures of the fifth metacarpal neck using a single …

Biomechanical comparison of 2 methods of intramedullary K-wire fixation of transverse metacarpal shaft fractures

SV Hiatt, MT Begonia, G Thiagarajan… - The Journal of Hand …, 2015 - Elsevier
Purpose To determine the relative importance of intramedullary wire (IMW) diameter and
IMW number in conferring stability to a metacarpal fracture fixation construct. Our research …

Comparison of low-profile locking plate fixation versus antegrade intramedullary nailing for unstable metacarpal shaft fractures––A prospective comparative study

SM Cha, HD Shin, YK Kim - Injury, 2019 - Elsevier
Background The purpose of this study was to compare the effectiveness of mini-open
antegrade intramedullary nailing (AIN) and open reduction and internal fixation (ORIF) using …

Iatrogenic injuries in percutaneous pinning techniques for fifth metacarpal neck fractures

SD Akinleye, G Garofolo-Gonzalez, MD Culbertson… - Hand, 2019 - journals.sagepub.com
Background: There is little information regarding anatomic structures at risk during closed
percutaneous treatment of fifth metacarpal neck fractures. This study evaluates a variety of …

[HTML][HTML] Treatment of fifth metacarpal neck fractures with antegrade single elastic intramedullary nailing

Y She, Y Xu - BMC Musculoskeletal Disorders, 2017 - Springer
Background The aim of this study was to investigate clinical outcomes of fifth metacarpal
neck fractures using antegrade single elastic nail and to explore ideal puncture point to …