Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires.
10.12671/jkfs.2012.25.4.317
- Author:
Jae Hak JUNG
1
;
Kwan Hee LEE
;
Yong Ju KIM
;
Woo Jin LEE
;
Sung Hyun CHOI
Author Information
1. Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Korea. 0428joy@naver.com
- Publication Type:Original Article
- Keywords:
5th Metacarpal bone;
Neck fracture;
K-wires;
Percutaneous transverse fixation
- MeSH:
Arm;
Follow-Up Studies;
Hand;
Humans;
Neck;
Shoulder
- From:Journal of the Korean Fracture Society
2012;25(4):317-322
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the radiologic and clinical results of percutaneous transverse fixation with K-wires for 5th metacarpal neck fracture. MATERIALS AND METHODS: Between January 2007 and September 2010, 18 patients with a 5th metacarpal neck fracture, who underwent operative treatment, were included in this study. The surgical method was percutaneous transverse fixation using K-wires. We evaluated fracture angulation in oblique radiographs preoperatively, postoperatively, and at final follow-up, and used SPSS to perform statistical analysis. We also performed clinical evaluation using the Disabilities of the Arm, Shoulder and Hand (DASH) score. RESULTS: All of the 18 cases were completely united, and in the oblique radiographs, the angulation was corrected from 50.69degrees to 11.68degrees. The average difference between postoperative and final follow-up angulations was 0.14degrees, which was statistically insignificant. Clinically, the DASH score was 1.030 and no complications were observed. CONCLUSION: Percutaneous transverse fixation using K-wires could be one of the best ways to treat a 5th metacarpal neck fracture because of its simple method and low rate of complications.
