Antegrade Intramedullary Prebent K-wire Fixation for the 5th Metacarpal Neck Fracture.
10.12671/jkfs.2011.24.1.67
- Author:
Tae Hyung KIM
1
;
Bo Hyeon KIM
;
In Ho JUNG
;
Dong Hyun KIM
Author Information
1. Department of Orthopedic Surgery, Cheongju St. Mary's Hospital, Cheongju, Korea. ostwins@naver.com
- Publication Type:Original Article
- Keywords:
Metacarpal;
Neck fracture;
Antegrade intramedullary K-wire fixation
- MeSH:
Follow-Up Studies;
Humans;
Neck;
Ulnar Nerve
- From:Journal of the Korean Fracture Society
2011;24(1):67-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate radiological and clinical results of the antegrade intramedullary prebent K-wire fixation for the 5th metacarpal neck fracture. MATERIALS AND METHODS: Between January, 2006 and December, 2009, 31 patients with displaced neck fracture of the fifth metacarpal who received antegrade intramedullary prebent K-wire fixation were included in this study. Radiological and clinical outcome evaluations were performed. RESULTS: All the fractures were completely united. In the oblique radiographs, the average of preoperative angulation was corrected from 38.9degrees to 4.4degrees. The average difference between postoperative and final follow-up was 1.2degrees. Clinical outcomes were satisfactory except for one patient who had sustained ulnar nerve dorsal branch injury during surgery. CONCLUSION: Antegrade intramedullary prebent K-wire fixation may be preferentially considered as one of the best ways to fix the displaced neck fractures of the fifth metacarpal.
