Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications
Background: To avoid the irritation of tendons and soft tissues as well as hardware-related problems, we designed an intramedullary fixation with bioabsorbable rods for the treatment of the metacarpal shaft fractures. Methods: Five patients with nine shaft fractures of the fourth and fifth metacarp...
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2015-01-01
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doaj-4604cac0e4f74582827886b48848aba62020-11-25T01:34:27ZengWolters KluwerChinese Medical Journal0366-69992015-01-01128212851285510.4103/0366-6999.168040Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and ImplicationsGe XiongZi-Run XiaoShi-Gong GuoWei ZhengLu-Fei DaiBackground: To avoid the irritation of tendons and soft tissues as well as hardware-related problems, we designed an intramedullary fixation with bioabsorbable rods for the treatment of the metacarpal shaft fractures. Methods: Five patients with nine shaft fractures of the fourth and fifth metacarpi were treated with intramedullary absorbable implants and followed up with an average of 4.2 months postoperatively. Results: At final follow-up, all patients achieved fracture union with no signs of inflammatory or subcutaneous effusion. There was no shortening, angulatory, or rotatory deformity. There was almost full active extension range of motion (ROM) of the metacarpophalangeal joints while the active flexion ROM of these joints was 80.7 ± 9.6°. Compared with the contralateral hand, the grip strength of the injured hand was 94.0 ± 9.6%. X-rays showed that the arch of the second to fifth metacarpal heads was smooth. There were no intramedullary lytic changes and soft tissue swellings. Conclusion: The intramedullary absorbable implants are a safe, simple, and practical treatment for fourth and fifth metacarpal fractures with good early clinical outcomes and no significant complications.http://www.cmj.org/article.asp?issn=0366-6999;year=2015;volume=128;issue=21;spage=2851;epage=2855;aulast=XiongAbsorbable Implant; Follow-up; Intramedullary Fixation; Metacarpal Fracture |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ge Xiong Zi-Run Xiao Shi-Gong Guo Wei Zheng Lu-Fei Dai |
spellingShingle |
Ge Xiong Zi-Run Xiao Shi-Gong Guo Wei Zheng Lu-Fei Dai Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications Chinese Medical Journal Absorbable Implant; Follow-up; Intramedullary Fixation; Metacarpal Fracture |
author_facet |
Ge Xiong Zi-Run Xiao Shi-Gong Guo Wei Zheng Lu-Fei Dai |
author_sort |
Ge Xiong |
title |
Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications |
title_short |
Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications |
title_full |
Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications |
title_fullStr |
Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications |
title_full_unstemmed |
Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications |
title_sort |
surgical fixation of fourth and fifth metacarpal shaft fractures with flexible intramedullary absorbable rods: early clinical outcomes and implications |
publisher |
Wolters Kluwer |
series |
Chinese Medical Journal |
issn |
0366-6999 |
publishDate |
2015-01-01 |
description |
Background: To avoid the irritation of tendons and soft tissues as well as hardware-related problems, we designed an intramedullary fixation with bioabsorbable rods for the treatment of the metacarpal shaft fractures.
Methods: Five patients with nine shaft fractures of the fourth and fifth metacarpi were treated with intramedullary absorbable implants and followed up with an average of 4.2 months postoperatively.
Results: At final follow-up, all patients achieved fracture union with no signs of inflammatory or subcutaneous effusion. There was no shortening, angulatory, or rotatory deformity. There was almost full active extension range of motion (ROM) of the metacarpophalangeal joints while the active flexion ROM of these joints was 80.7 ± 9.6°. Compared with the contralateral hand, the grip strength of the injured hand was 94.0 ± 9.6%. X-rays showed that the arch of the second to fifth metacarpal heads was smooth. There were no intramedullary lytic changes and soft tissue swellings.
Conclusion: The intramedullary absorbable implants are a safe, simple, and practical treatment for fourth and fifth metacarpal fractures with good early clinical outcomes and no significant complications. |
topic |
Absorbable Implant; Follow-up; Intramedullary Fixation; Metacarpal Fracture |
url |
http://www.cmj.org/article.asp?issn=0366-6999;year=2015;volume=128;issue=21;spage=2851;epage=2855;aulast=Xiong |
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