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Original Article
Online Published: 02 Mar 2022
 


The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures

HARUN YASİN TUZUN, OMER ERSEN, SELİM TURKKAN, NECMETTİN SALAR, MUSTAFA KURKLU.


Abstract
Aim: The fifth metacarpal shaft is one of the most common fracture sites of the hand. Although most of these fractures treated conservatively, there is no consensus about the fixation method if surgical treatment is required. This study aims to compare intermetacarpal fixation (IF) and plate fixation (PF) in the treatment of fifth metacarpal shaft fractures.
Methods: A total of 59 patients treated with intermetacarpal fixation or plate fixation due to metacarpal shaft fractures of the small finger were included in this study. Clinical assessment included total active motion, grip strength, and Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) scores. Radiologically, angulation, rotation, and shortening of the little finger were measured via picture archiving and communication system of the hospital.
Results: The duration of the surgeries of the PF group was significantly higher than the IF group. Although the radiological shortening and the rotation of the finger were found higher in the IF group, the differences were not significant. The grip strength of IF patients were higher than PF patients (p=0.029).
Conclusion: This study demonstrated that intermetacarpal fixation of fifth metacarpal shaft fractures can provide similar stability as open reduction and plate fixation. Stable intermetacarpal fixation allows early rehabilitation as plate fixation.

Key words: Fifth metacarpal, Metacarpal shaft, Metacarpal fracture, Percutaneous fixation, Locked plate


 
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How to Cite this Article
Pubmed Style

TUZUN HY, ERSEN O, TURKKAN S, SALAR N, KURKLU M. The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures. Hand Microsurg. 2022; 11(1): 45-50. doi:10.5455/handmicrosurg.16605

Web Style

TUZUN HY, ERSEN O, TURKKAN S, SALAR N, KURKLU M. The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures. https://handmicrosurgeryjournal.com/?mno=16605 [Access: September 14, 2024]. doi:10.5455/handmicrosurg.16605

AMA (American Medical Association) Style

TUZUN HY, ERSEN O, TURKKAN S, SALAR N, KURKLU M. The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures. Hand Microsurg. 2022; 11(1): 45-50. doi:10.5455/handmicrosurg.16605


Vancouver/ICMJE Style

TUZUN HY, ERSEN O, TURKKAN S, SALAR N, KURKLU M. The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures. Hand Microsurg. (2022), [cited September 14, 2024]; 11(1): 45-50. doi:10.5455/handmicrosurg.16605


Harvard Style

TUZUN, H. Y., ERSEN, . O., TURKKAN, . S., SALAR, . N. & KURKLU, . M. (2022) The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures. Hand Microsurg, 11 (1), 45-50. doi:10.5455/handmicrosurg.16605


Turabian Style

TUZUN, HARUN YASİN, OMER ERSEN, SELİM TURKKAN, NECMETTİN SALAR, and MUSTAFA KURKLU. 2022. The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures. Hand and Microsurgery, 11 (1), 45-50. doi:10.5455/handmicrosurg.16605


Chicago Style

TUZUN, HARUN YASİN, OMER ERSEN, SELİM TURKKAN, NECMETTİN SALAR, and MUSTAFA KURKLU. "The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures." Hand and Microsurgery 11 (2022), 45-50. doi:10.5455/handmicrosurg.16605


MLA (The Modern Language Association) Style

TUZUN, HARUN YASİN, OMER ERSEN, SELİM TURKKAN, NECMETTİN SALAR, and MUSTAFA KURKLU. "The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures." Hand and Microsurgery 11.1 (2022), 45-50. Print. doi:10.5455/handmicrosurg.16605


APA (American Psychological Association) Style

TUZUN, H. Y., ERSEN, . O., TURKKAN, . S., SALAR, . N. & KURKLU, . M. (2022) The comparison of intermetacarpal fixation and plate fixation in the treatment of fifth metacarpal shaft fractures. Hand and Microsurgery, 11 (1), 45-50. doi:10.5455/handmicrosurg.16605




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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