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Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures

Mahmut Özdemir, Mert Karaduman, Mustafa Caner Okkaoğlu, Hakan Şeşen, İsmail Demirkale, Murat Altay.

Abstract
Objectives: Metacarpal fractures are common, and several surgical treatment methods have been described. This study aims to compare the clinical and economic aspects of two different surgical methods, closed reduction and K-wire fixation (CRPF) and open reduction and plate screw fixation (ORIF).
Methods: Between January 2009 and March 2014, 51 patients who received surgical treatment for metacarpal fractures were retrospectively evaluated. Of them, 36 patients (29M, 7F) performed CRPF, and 15 (12M, 3F) performed ORIF. Patients were followed up for an average of 17.6 weeks. All patients were assessed according to the union, operation time, complications, cost-effectiveness, and the Michigan hand outcome questionnaire scores.
Results: The mean operation time was 13.7 minutes (5-37 minutes) in the CRPF group and 32.2 minutes (23-62 minutes) in the ORIF group (p<0.05). The mean union time was 5.4 weeks (4-9 weeks) in the CRPF group and four weeks (3-8 weeks) in the ORIF group (p<0,05). Hospital expenses were found to be, on average, 257.5 USD (45.8-311 USD) in the CRPF group and 660 USD (454.9-1074.6 USD) in the ORIF group (p<0,05). The mean Michigan Hand Surgery Outcome Questionnaire results were 86.4% (66-98) in the CRPF group and 68.7% (62-83) in the ORIF group (p<0,05).
Conclusion: We recommend CRPF because of its shorter operation time, better functional scores, and cost-effectiveness.
Type of study/level of evidence: Level III; Causal comparative retrospective study

Key words: metacarpal fractures, open reduction, and internal fixation, percutaneous pinning, cost


 
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How to Cite this Article
Pubmed Style

Ozdemir M, Karaduman M, OkkaoÄŸlu MC, ÅžeÅŸen H, Demirkale Ä, Altay M. Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures. Hand Microsurg. 2022; 11(3): 141-148. doi:10.5455/handmicrosurg.32737

Web Style

Ozdemir M, Karaduman M, OkkaoÄŸlu MC, ÅžeÅŸen H, Demirkale Ä, Altay M. Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures. https://handmicrosurgeryjournal.com/?mno=32737 [Access: January 09, 2024]. doi:10.5455/handmicrosurg.32737

AMA (American Medical Association) Style

Ozdemir M, Karaduman M, OkkaoÄŸlu MC, ÅžeÅŸen H, Demirkale Ä, Altay M. Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures. Hand Microsurg. 2022; 11(3): 141-148. doi:10.5455/handmicrosurg.32737


Vancouver/ICMJE Style

Ozdemir M, Karaduman M, OkkaoÄŸlu MC, ÅžeÅŸen H, Demirkale Ä, Altay M. Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures. Hand Microsurg. (2022), [cited January 09, 2024]; 11(3): 141-148. doi:10.5455/handmicrosurg.32737


Harvard Style

Ozdemir, M., Karaduman, . M., OkkaoÄŸlu, . M. C., ÅžeÅŸen, . H., Demirkale, . Ä. & Altay, . M. (2022) Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures. Hand Microsurg, 11 (3), 141-148. doi:10.5455/handmicrosurg.32737


Turabian Style

Ozdemir, Mahmut, Mert Karaduman, Mustafa Caner OkkaoÄŸlu, Hakan ÅžeÅŸen, Ä°smail Demirkale, and Murat Altay. 2022. Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures. Hand and Microsurgery, 11 (3), 141-148. doi:10.5455/handmicrosurg.32737


Chicago Style

Ozdemir, Mahmut, Mert Karaduman, Mustafa Caner OkkaoÄŸlu, Hakan ÅžeÅŸen, Ä°smail Demirkale, and Murat Altay. "Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures." Hand and Microsurgery 11 (2022), 141-148. doi:10.5455/handmicrosurg.32737


MLA (The Modern Language Association) Style

Ozdemir, Mahmut, Mert Karaduman, Mustafa Caner OkkaoÄŸlu, Hakan ÅžeÅŸen, Ä°smail Demirkale, and Murat Altay. "Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures." Hand and Microsurgery 11.3 (2022), 141-148. Print. doi:10.5455/handmicrosurg.32737


APA (American Psychological Association) Style

Ozdemir, M., Karaduman, . M., OkkaoÄŸlu, . M. C., ÅžeÅŸen, . H., Demirkale, . Ä. & Altay, . M. (2022) Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures. Hand and Microsurgery, 11 (3), 141-148. doi:10.5455/handmicrosurg.32737




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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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