Efficacy of micro steel plate and Kirschner needle oblique and transverse internal fixation of adjacent metacarpal bone in the treatment of metacarpal diaphyseal oblique fracture.
10.12200/j.issn.1003-0034.2023.05.009
- Author:
Li-Qi SHI
1
;
Yang-Hua TANG
2
;
Xiang-Jun LI
1
;
Jun ZHAO
1
;
Jie LIU
1
Author Information
1. Department of Orthopaedics, Hospital of Traditional Chinese Medicine of Yuyao City, Yuyao 315400, Zhejiang, China.
2. Department of Orthopaedics, Xiaoshan District Hospital of Traditional Chinese Medicine of Hangzhou, Hangzhou 311201, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Fracture internal fixation;
Kirschner needle;
Metacarpal shaft fractures;
Micro steel plate
- MeSH:
Humans;
Metacarpal Bones/injuries*;
Fractures, Bone/surgery*;
Fracture Fixation, Internal/methods*;
Bone Wires;
Bone Plates;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2023;36(5):440-444
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical efficacy of micro steel plate and Kirschner needle oblique and transverse internal fixation of adjacent metacarpal bone in the treatment of metacarpal diaphyseal oblique fracture.
METHODS:Fifty-nine patients with metacarpal diaphyseal oblique fractures admitted between January 2018 and September 2021 were selected as the study subjects and divided into the observation group (29 cases) and the control group (30 cases) based on different internal fixation methods. The observation group was treated with Kirschner wire oblique and transverse internal fixation of adjacent metacarpal bones, while the control group was treated with micro steel plate internal fixation. Postoperative complications, operation time, incision length, fracture healing time, treatment cost, and metacarpophalangeal function were compared between the two groups.
RESULTS:No incision or Kirschner wire infections occurred in the 59 patients, except for one in the observation group. No fixation loosening, rupture, or loss of fracture reduction occurred in any of the patients. The operation time and incision length in the observation group were (20.5±4.2) min and (1.6±0.2) cm, respectively, which were significantly shorter than those in the control group (30.8±5.6) min and (4.3±0.8) cm (P<0.05). The treatment cost and fracture healing time in the observation group were (3 804.5±300.8) yuan and (7.2±1.1) weeks, respectively, which were significantly lower than those in the control group (9 906.9±860.6) yuan and (9.3±1.7) weeks (P<0.05). The excellent and good rate of metacarpophalangeal joint function in the observation group was significantly higher than that in the control group at 1, 2, and 3 months after operation (P<0.05), but there was no significant difference between the two groups at 6 months after operation (P>0.05).
CONCLUSION:Micro steel plate internal fixation and Kirschner wire oblique and transverse internal fixation of adjacent metacarpal bones are both viable surgical methods for treating metacarpal diaphyseal oblique fractures. However, the latter has the advantages of causing less surgical trauma, shorter operation time, better fracture healing, lower cost of fixation materials, and no need for secondary incision and removal of internal fixation.
