Intramedullary Pinning for Displaced Fifth Metacarpal Neck Fractures: Closed Reduction and Fixation Using Either an Open Antegrade or Percutaneous Retrograde Technique
نویسندگان
چکیده
منابع مشابه
Antegrade intramedullary pinning versus retrograde intramedullary pinning for displaced fifth metacarpal neck fractures.
BACKGROUND Severe angulation or shortening can be a surgical indication for fifth metacarpal neck fracture. In a previous meta-analysis, antegrade intramedullary pinning was shown to produce better hand function outcomes than percutaneous transverse pinning or miniplate fixation for treatment of fifth metacarpal neck fractures. However, the outcomes of retrograde intramedullary pinning, to our ...
متن کاملFifth metacarpal neck fractures: fixation with antegrade locked flexible intramedullary nailing.
BACKGROUND Fifth metacarpal neck fractures (commonly named "boxer's fractures") are the most common metacarpal injuries and usually affect young active people. These lesions are mainly treated conservatively. Their surgical management, if indicated, is still a matter of debate. Different procedures have been described. The aim of this study was to evaluate the outcomes of 18 boxer's fractures w...
متن کاملTreatment of fifth metacarpal neck fractures with antegrade single elastic intramedullary nailing
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 avoid iatrogenic ulnar nerve injury. METHODS A single elastic nail with suitable diameter was used in 27 cases of fifth metacarpal neck fractures with dorsal angulation over 45°. An initial entry point was perforate...
متن کاملIntra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique☆☆☆
OBJECTIVE to demonstrate a surgical technique for treating neck fractures of the fifth metacarpal, by means of reduction through intra-focal manipulation and percutaneous fixation using Kirschner wires, with the aims of making it easier to achieve and maintain the reduction during the operation and enabling reduction of these fractures even if a fibrous callus has formed. METHODS a series of ...
متن کاملOpen reduction and intramedullary nail fixation of closed tibial fractures.
Some tibial shaft fractures cannot be accurately reduced using closed or percutaneous techniques during an intramedullary nailing procedure. Under these circumstances, a formal open reduction can be performed. Direct exposure of the fracture facilitates accurate reduction but does violate the soft tissue envelope. The purpose of this study was to evaluate the safety and efficacy of open reducti...
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ژورنال
عنوان ژورنال: JBJS Essential Surgical Techniques
سال: 2016
ISSN: 2160-2204
DOI: 10.2106/jbjs.st.16.00006