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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Moon, Sung Jun (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Yang, Jae-Won (Hand and Micro Plastic Surgery, Gangnam Jaejun Plastic Clinic) Roh, Si Young (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제6호
발행연도
2014.1
수록면
768 - 772 (5page)

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Background To compare clinical and radiographic outcomes between intramedullary nail fixation and percutaneous K-wire fixation for fractures in the distal third portion of the metacarpal bone. Methods A single-institutional retrospective review identified 41 consecutive cases of metacarpal fractures between September 2009 and August 2013. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the distal third of the metacarpal bone. The patients were divided by the method of fixation (intramedullary nailing or K-wire). Outcomes were compared for mean and median total active motion of the digit, radiographic parameters, and period until return to work. Complications and symptoms were determined by a questionnaire. Results During the period under review, 41 patients met the inclusion criteria, and the fractures were managed with either intramedullary nailing (n=19) or percutaneous K-wire fixation (n=22). The mean and median total active range of motion and radiographic healing showed no statistically significant difference between the two groups. No union failures were observed in either group. The mean operation time was shorter by an average of 14 minutes for the percutaneous K-wire fixation group. However, the intramedullary nailing group returned to work earlier by an average of 2.3 weeks. Complications were reported only in the K-wire fixation group. Conclusions Intramedullary nailing fixation is advisable for fractures in the distal third of the metacarpal bone. It provides early recovery of the range of motion, an earlier return to work, and lower complication rates, despite potentially requiring a wire removal procedure at the patient's request.
#Metacarpal bones #Fracture fixation #Intramedullary #Fractures, closed

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참고문헌 (10)

참고문헌 신청
Black D / 1985 / Comparison of internal fixation techniques in metacarpal fractures / J Hand Surg Am 10:466~472 google schola Kawamura K / 2006 / Fixation choices for closed simple unstable oblique phalangeal and metacarpal fractures / Hand Clin 22:287~295 google schola Wong TC / 2006 / Comparison between percutaneous transverse fixation and intramedullary K-wires in treating closed fractures of the metacarpal neck of the little finger / J Hand Surg Br 31:61~65 google schola Foucher G / 1995 / “Bouquet” osteosynthesis in metacarpal neck fractures: a series of 66 patients / J Hand Surg Am 20:S86~S90 google schola Orbay JL / 2006 / The treatment of unstable metacarpal and phalangeal shaft fractures with flexible nonlocking and locking intramedullary nails / Hand Clin 22:279~286 google schola

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