Comparative analysis of the effects of AO mini-plate and Kirschner wire pinning in the metacarpal fractures: A retrospective study.

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Tytuł:: Comparative analysis of the effects of AO mini-plate and Kirschner wire pinning in the metacarpal fractures: A retrospective study.
Autorzy:: Lv F; Department of Hand and Foot Surgery, Huazhong University of Science and Technology Union Jiangbei Hospital/Wuhan Caidian People's Hospital, Wuhan, China.
Nie Q
Guo J
Tang M
Źródło:: Medicine [Medicine (Baltimore)] 2021 Jul 02; Vol. 100 (26), pp. e26566.
Typ publikacji:: Comparative Study; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
MeSH Terms:: Bone Plates*
Bone Wires*
Finger Phalanges*/injuries
Finger Phalanges*/surgery
Fracture Fixation, Intramedullary*/adverse effects
Fracture Fixation, Intramedullary*/instrumentation
Fracture Fixation, Intramedullary*/methods
Hand Deformities*/etiology
Hand Deformities*/prevention & control
Postoperative Complications*/diagnosis
Postoperative Complications*/epidemiology
Postoperative Complications*/etiology
Metacarpal Bones/*injuries
Adult ; China/epidemiology ; Disability Evaluation ; Female ; Fracture Healing ; Fractures, Bone/surgery ; Hand Injuries/surgery ; Humans ; Male ; Outcome Assessment, Health Care ; Range of Motion, Articular ; Recovery of Function
References:: Hiatt SV, Begonia MT, Thiagarajan G, et al. Biomechanical comparison of 2 methods of intramedullary k-wire fixation of transverse metacarpal shaft fractures. J Hand Surg Am 2015;40:1586–90.
Poggetti A. Comparison of low-profile locking plate fixation versus antegrade intramedullary nailing for unstable metacarpal shaft fractures. A prospective comparative study. Injury 2020;51:1140.
Nikkhah D, Berner JE, Pickford M. Intramedullary screw fixation of metacarpal fractures results in excellent functional outcomes: a literature review. Plast Reconstr Surg 2020;145:204e–5e.
Shih CA, Jou IM, Lee PY, et al. Treating AO/OTA 44B lateral malleolar fracture in patients over 50 years of age: periarticular locking plate versus non-locking plate. J Orthop Surg Res 2020;15:112.
Cha SM, Shin HD, Kim YK. Comparison of low-profile locking plate fixation versus antegrade intramedullary nailing for unstable metacarpal shaft fractures—a prospective comparative study. Injury 2019;50:2252–8.
Gregory S, Lalonde DH, Fung LL. Minimally invasive finger fracture management: wide-awake closed reduction, K-wire fixation, and early protected movement. Hand Clin 2014;30:07–15.
Sander AL, Buhrmann CF, Sommer K, et al. Simplified abductor pollicis longus suspension interposition arthroplasty for thumb carpometacarpal joint osteoarthritis. Eur J Trauma Emerg Surg 2020.
Eisenschenk A, Spitzmuller R, Guthoff C, et al. Single versus dual Kirschner wires for closed reduction and intramedullary nailing of displaced fractures of the fifth metacarpal neck (1-2 KiWi): a randomized controlled trial. Bone Joint J 2019;101-B:1263–71.
Luo Y, Wang L, Zhao LH, et al. Elastic stable titanium flexible intramedullary nails versus plates in treating low grade comminuted femur shaft fractures in children. Orthop Surg 2019;11:664–70.
Calbiyik M, Ipek D. Use of volar locking plate versus intramedullary nailing for fixation of distal radius fractures: a retrospective analysis of clinical and radiographic outcomes. Med Sci Monit 2018;24:602–13.
Gick S, Oppermann J, Owerst I, et al. [Biomechanical comparison of six different fixation techniques for treatment of metacarpal neck fractures]. Unfallchirurg 2019;122:587–95.
King PR, Ikram A, Eken MM, et al. The effectiveness of a flexible locked intramedullary nail and an anatomically contoured locked plate to treat clavicular shaft fractures: a 1-year randomized control trial. J Bone Joint Surg Am 2019;101:628–34.
Boudard G, Pomares G, Milin L, et al. Locking plate fixation versus antegrade nailing of 3- and 4-part proximal humerus fractures in patients without osteoporosis. Comparative retrospective study of 63 cases. Orthop Traumatol Surg Res 2014;100:917–24.
Jones CM, Padegimas EM, Weikert N, et al. Headless screw fixation of metacarpal neck fractures: a mechanical comparative analysis. Hand (N Y) 2019;14:187–92.
Shanmugam R, Jian C, Haseeb A, et al. Comparing biomechanical strength of unicortical locking plate versus bicortical compression plate for transverse midshaft metacarpal fracture. J Orthop Surg (Hong Kong) 2018;26:614462799.
Calbiyik M, Ipek D, Taskoparan M. Prospective randomized study comparing results of fixation for clavicular shaft fractures with intramedullary nail or locking compression plate. INT ORTHOP 2017;41:173–9.
Royle SG. Rotational deformity following metacarpal fracture. J Hand Surg Br 1990;15:124–5.
Tannenbaum EP, Burns GT, Oak NR, et al. Comparison of 2-dimensional and 3-dimensional metacarpal fracture plating constructs under cyclic loading. J Hand Surg Am 2017;42:e159–65.
Zhang XF, Huang JW, Mao HX, et al. Adult diaphyseal both-bone forearm fractures: a clinical and biomechanical comparison of four different fixations. Orthop Traumatol Surg Res 2016;102:319–25.
Entry Date(s):: Date Created: 20210630 Date Completed: 20210707 Latest Revision: 20230103
Update Code:: 20240105
PubMed Central ID:: PMC8257865
DOI:: 10.1097/MD.0000000000026566
PMID:: 34190198
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Abstract: The aim of this study was to investigate the clinical effect of AO miniplate screw internal fixation and Kirschner wire (KW) in the treatment of metacarpal fractures.We retrospectively analyzed the clinical data of 590 metacarpal fracture patients admitted to our hospital from March 2016 to March 2019. Among them, 290 patients were treated with KWs; 300 were treated with AO microplate internal fixation. The clinical, radiological results, time of surgery, and complications were observed and compared between the 2 groups.The imaging characteristics and preoperative fracture types of the 2 groups were similar and comparable (P > .05). The operation time, length of hospital stay, and fracture healing time of AO group were shorter than those of KW group, and the differences were statistically significant (41.22 ± 7.23 vs 25.64 ± 6.29; 7.13 ± 2.38 vs 5.26 ± 1.71; 67.43 ± 22.01 vs 52.57 ± 17.46, P < .05). In addition, the incidence of postoperative complications in AO group was lower than that in KW group (8.3% vs 15.2%, P < .05). In terms of surgical knuckle extension, flexion, and total mobility (compared with the uninjured hand), patients in the AO plate group were significantly improved compared with patients in the KW group, and the difference was statistically significant (4 vs 10 degree; 19 vs 10 degree; 14 vs 29 degree, P < .05); The average degree of finger rotation deformity in AO plate group was significantly lower than that in KW group (1 vs 6 degree, P < .05). In terms of grip strength (compared with the healthy hand), the average grip strength of AO plate group was significantly higher than that of KW group (93% vs 83%, P < .05). Patients in the OA plate group had a lower Disabilities of the Arm, Shoulder and Hand score (P < .05).Compared with KW fixation, AO mini-plate and screw fixation for the metacarpal fracture has a better effect, which can effectively shorten the operation time and reduce the trauma to patients. It can provide patients with better stability and realize the early movement of the palm, promote fracture healing and joint function recovery; it can reduce the incidence of postoperative complications, which has certain safety. In addition, it can effectively reduce the risk of poor finger rotation.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)

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